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Contact Information

PAT R LEE, PED NURSE PRAC CERT
11990 JACKSON ST
CLINTON, LA70722
 Phone: 225-683-5292
 Fax: 225-683-3411
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for PAT R LEE · (Male)

NPI # 1174535827
Status Active
Credentials PED NURSE PRAC CERT
Entity Individual
Enumeration date 08/12/2006
Last updated 01/23/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • LA License # AP01814
  • LA Medicaid 1689742
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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