Individual
SHANNON K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
350 HERITAGE WAY, SUITE 1200, KALISPELL, MT 59901-3158
(406) 752-6784
(406) 756-4111
Mailing address
350 HERITAGE WAY, SUITE 1200, KALISPELL, MT 59901-3158
(406) 752-6784
(406) 756-4111
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
603
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1871824219
BCBS
MT
05
—
1871824219
—
MT
Enumeration date
01/25/2010
Last updated
07/23/2024
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