Lee R Brock is a Specialist in Fredericksburg, Virginia. Lee R Brock practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lee R Brock is 1063444792. The last update date is 2023-08-08.
Lee R Brock's current location address is 4304 Lafayette Blvd, Fredericksburg, Virginia. You can contact this provider via phone number 5408914444 and fax number 5408919034. The mailing address for Lee R Brock is 4304 Lafayette Blvd, Fredericksburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lee R Brock |
|---|---|
| Address | 4304 Lafayette Blvd, Fredericksburg, Virginia |
| Phone Number | 5408914444 |
| Fax Number | 5408919034 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1063444792 |
|---|---|
| Provider Enumeration Date | 2006-07-06 |
| Last Updated Date | 2023-08-08 |
Provider Mailing Address Detail
| Address | 4304 Lafayette Blvd |
|---|---|
| City | Fredericksburg |
| State | Virginia (VA) |
| Post Code | 224084234 |
| Phone Number | 5408914444 |
| Fax Number | 5408919034 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 101032219 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6398707 | VA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lee R Brock by the Centers for Medicare & Medicaid Services?
The Lee R Brock has been issued the NPI (National Provider Identifier) 1063444792, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lee R Brock located?
The Lee R Brock is located at 4304 Lafayette Blvd, Fredericksburg, VA 224084234.
What is Lee R Brock's area of expertise and its corresponding taxonomy classification?
The Lee R Brock's field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063444792 to Lee R Brock?
The Centers for Medicare & Medicaid Services originally issued the 1063444792 to Lee R Brock on 2006-07-06.
As of what date were the details pertaining to Lee R Brock last refreshed?
The information related to the Lee R Brock, including its address, specialty, and other relevant details, was last updated on 2023-08-08.
NPI Number: 1043212103
Address: 250 Water Stone Cir, Joliet, IL
NPI Number: 1801892625
Address: 2550 Tenderfoot Hill St, Colorado Springs, CO