Individual
DR. LAWRENCE D. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ANESTHESIOLOGIST
Contact information
Practice address
2900 1ST AVE, HUNTINGTON, WV 25702-1241
(304) 526-1031
Mailing address
PO BOX 515, BARBOURSVILLE, WV 25504-0515
(304) 736-6126
(304) 736-1531
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
19852
WV
207L00000X
Anesthesiology Physician
Primary
19852
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000974584
WV BLUE CROSS PROVIDER #
WV
01
—
550696369-00
WV WORKERS COMP #
WV
05
—
5700024000
—
WV
Enumeration date
11/14/2006
Last updated
03/29/2018
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