Individual
MR. PATRICK SHANNON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 399-6727
(304) 399-6726
Mailing address
1340 HAL GREER BLVD, HUNTINGTON, WV 25701-3804
(304) 399-6727
(304) 399-6726
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01686
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0075971
—
OH
05
—
1477800977
—
WV
05
—
7100224040
—
KY
Enumeration date
08/14/2012
Last updated
04/13/2021
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