Individual
LEE SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
309 JACKSON ST, MONROE, LA 71201-7407
(318) 966-4171
Mailing address
3220 DEBORAH DR, MONROE, LA 71201-2145
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
29416
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
MS
Other
Enumeration date
04/08/2019
Last updated
06/09/2022
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