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NPI Code Detail

MEDICARE: LEE IRWIN BLECHER MD

MEDICARE: LEE IRWIN BLECHER MD
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
1207Q00000XFamily Medicine Physician0101232803VA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1080188278OTHERRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336133875
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEE IRWIN BLECHER MD
Provider Business Mailing Address
First Line : 3650 JOSEPH SIEWICK DR STE 400
Second Line :
City : FAIRFAX
State : VA
Zip : 22033-1715
Country : US
Telephone Number : 703-391-2020
Fax Number : 703-391-1211
Provider Business Practice Location Address
First Line : 3650 JOSEPH SIEWICK DR
Second Line : STE 400
City : FAIRFAX
State : VA
Zip : 22033-1710
Country : US
Telephone Number : 703-391-2020
Fax Number : 703-391-1211
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2005
Last Update Date : 04/17/2026

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Directions to “ LEE IRWIN BLECHER MD” Practice Location

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