Connie D. Le, M.d, P.c

NPI #1174712301 in Annandale, Virginia

Provider Information

NPI Number
1174712301
Entity Type
Organization
Organization Name
Connie D. Le, M.d, P.c
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Oct 24, 2007
Last Updated
Oct 24, 2007

Practice Location

Address
4208 EVERGREEN LN
Address 2
SUITE 214
ZIP Code
22003-3235
Phone
(703) 642-6633

Authorized Official

Name
CONNIE D LE, M.D.
Title
PRESIDENT
Phone
(703) 642-6633

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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