Individual
MATTHEW F LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 DUNCAN RD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 799-2276
Mailing address
150 DUNCAN RD, BUCKEYE, WV 24924-9037
(304) 799-7400
(304) 799-2276
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20541
WV
207P00000X
Emergency Medicine Physician
Primary
36847
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407694570
BLUE SHIELD
WV
05
—
2000559000
—
WV
05
—
64037450
—
KY
01
—
930108513
RAILROAD
KY
Enumeration date
08/28/2006
Last updated
05/26/2020
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