NPI 1174712301

Connie D. Le, M.D, P.C

Organisation Exclusive Provider Organization Annandale, VA

Practice location

Address: 4208 Evergreen Ln Suite 214, Annandale, VA 22003-3235
Phone: (703) 642-6633
Fax: (703) 642-6699

Authorised official

Name: Connie D Le
Title: President
Phone: (703) 642-6633

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 0101237697 (VA)

Other Exclusive Provider Organization providers in Virginia →

Registry record

NPI: 1174712301
Entity type: Organization
NPI issued: 24 Oct 2007
Record last updated: 24 Oct 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.