Individual
LEE G BLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 HARTFORD ST, HOULTON, ME 04730-1891
(859) 224-9581
(859) 224-9497
Mailing address
22 HARTFORD ST, HOULTON, ME 04730-1891
(859) 224-9581
(859) 224-9497
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA022
KY
363AM0700X
Medical Physician Assistant
PA022
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37903705
MEDICAID LAB GROUP
KY
01
—
4000501
MEDICARE LAB GROUP
KY
05
—
95000220
—
KY
01
—
CB5773
RR MEDICARE LAB GROUP
KY
Enumeration date
10/04/2006
Last updated
05/06/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us