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NPI Code Detail

MEDICARE: ESSENCE PREMIER HEALTH, LLC

MEDICARE: ESSENCE PREMIER HEALTH, LLC
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
1207LP2900XPain Medicine (Anesthesiology) Physician0101230590VA

General Provider Information

NPI Number : 1689114761
Entity Type Code : Organization
Provider Name (Legal Business Name) : ESSENCE PREMIER HEALTH, LLC
Provider Business Mailing Address
First Line : 16830 FOREST RD
Second Line :
City : FOREST
State : VA
Zip : 24551-4059
Country : US
Telephone Number : 434-515-2775
Fax Number : 844-364-8201
Provider Business Practice Location Address
First Line : 16830 FOREST RD
Second Line :
City : FOREST
State : VA
Zip : 24551-4059
Country : US
Telephone Number : 434-515-2775
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. RICK DON LEE
Credential : M.D.
Telephone Number : 434-942-8417
Provider Enumeration Date : 03/08/2017
Last Update Date : 08/07/2025

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Directions to “ESSENCE PREMIER HEALTH, LLC ” Practice Location

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