Alvin Lee Sr.
Individual provider Active NPI Contractor · Franklin, VA
NPI 1619220464 · NPPES record last updated Nov 29, 2012
Key facts
- NPI
- 1619220464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 2701032766 (VA)
- Practice address
- 1713 South St
Franklin, VA 23851-2546 - Phone
- (757) 651-9539
- NPI assigned
- Oct 17, 2012
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2701032766 | VA | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 2701032766 | VA | Yes |
Addresses
Primary practice location
1713 South St
Franklin, VA 23851-2546
Mailing address
1713 South St
Franklin, VA 23851-2546
Phone (757) 651-9539
Other providers in Franklin, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 29, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.