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Individual

DR. ALAN LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1320 MAPLEWOOD AVE STE A, RONCEVERTE, WV 24970-8016
(304) 647-1175
(304) 647-3807
Mailing address
1320 MAPLEWOOD AVE, RONCEVERTE, WV 24970-8016

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1243
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004303000
WV
01
020022430
RAILROAD MEDICARE
WV
01
026
MTST BCBS
WV
01
282380
ANTHEM BCBS
WV
01
350033
MAMSI
WV
01
406972002
CIGNA
WV
01
4502219
AETNA
WV
01
60015
SOUTHERN HEALTH
WV
Enumeration date
07/17/2006
Last updated
11/16/2023
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