Healthcare Provider Details

I. General information

NPI: 1659614253
Provider Name (Legal Business Name): JANICE LEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2013
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR ROAD, N.W. CCC BUILDING, LOWER LEVEL
WASHINGTON DC
20007
US

IV. Provider business mailing address

3800 RESERVOIR RD NW CCC BUILDING, LOWER LEVEL
WASHINGTON DC
20007
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-8640
  • Fax: 202-444-8854
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License NumberMD046023
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: