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NPI Code Detail

MEDICARE: JOSHUA LEE

MEDICARE: JOSHUA LEE
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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1881538262
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSHUA LEE
Provider Business Mailing Address
First Line : 6224 MOCKINGBIRD POND TER
Second Line :
City : BURKE
State : VA
Zip : 22015-3721
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 571-231-3224
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ JOSHUA LEE ” Practice Location

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