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Lee R Brock, MD

Specialist in Fredericksburg, VA. Individual provider (NPI-1).

NPI number1063444792
StatusActive
Last updated in NPPESJan 23, 2024

Details

NPI
1063444792
Entity type
Individual (NPI-1)
Name
Lee R Brock
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 6, 2006
Certification date
Jan 23, 2024
Last updated
Jan 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X Specialist0101032219VAYes

Practice location

4304 Lafayette Blvd
Fredericksburg, VA 22408-4234

Phone 540-891-4444 · Fax 540-891-9034

Mailing address

4304 Lafayette Blvd
Fredericksburg, VA 22408-4234

Phone 540-891-4444 · Fax 540-891-9034

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