MEDICARE: DR. MARY RACHEL LEE 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	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	D0066459	MD
2	2084A0401X	Addiction Medicine (Psychiatry & Neurology) Physician	0101053530	VA

General Provider Information

NPI Number	:	1750533402
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARY RACHEL LEE M.D.

Provider Business Mailing Address
First Line	:	NATIONAL INSTITUTE ON DRUG ABUSE IRP
Second Line	:	251 BAYVIEW BLVD.
City	:	BALTIMORE
State	:	MD
Zip	:	21224
Country	:	US
Telephone Number	:	443-740-2654
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 N GLEBE RD STE 104
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-3755
Country	:	US
Telephone Number	:	703-841-0703
Fax Number	:

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

Provider Enumeration Date	:	10/14/2008
Last Update Date	:	07/07/2025

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