MEDICARE: DR. ALISON MARLENE LEX M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	0101102723	VA

General Provider Information

NPI Number	:	1306816434
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALISON MARLENE LEX M.D.

Provider Business Mailing Address
First Line	:	PO BOX 7068
Second Line	:
City	:	PORTSMOUTH
State	:	VA
Zip	:	23707-0068
Country	:	US
Telephone Number	:	757-686-3508
Fax Number	:	757-686-0541

Provider Business Practice Location Address
First Line	:	1925 GLENN MITCHELL DR
Second Line	:	SUITE 100
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23456-0170
Country	:	US
Telephone Number	:	757-689-8430
Fax Number	:	757-689-8435

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	02/02/2011

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