person
Pat Randolph Lee, PEDNURSEPRACCERT
Pediatric Nurse Practitioner in Clinton, Louisiana
NPI 1174535827

Pat Randolph Lee is a Pediatric Nurse Practitioner based in Clinton, LA and is specialized in Pediatrics. Pat Randolph Lee practices in Clinton, LA and has the professional credentials of PEDNURSEPRACCERT. The NPI Number for Pat Randolph Lee is 1174535827 and holds a License No. AP01814 (Louisiana).

The current practice location address for Pat Randolph Lee is 11990 Jackson St, Clinton, LA and can be reached out via phone at 225-683-5292 and via fax at 225-683-3411.

Location: 11990 Jackson St, Clinton, LA, 70722-0395
person
Provider Profile Details
NPI Number
1174535827
Provider Name
Pat Randolph Lee
Credential
PEDNURSEPRACCERT
Provider Entity Type
Individual
Gender
Male
Address
11990 Jackson St, Clinton, LA, 70722-0395
Phone Number
225-683-5292
Fax Number
225-683-3411
Provider Enumeration Date
08/12/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1689742 05 LA
institution
Provider Business Practice Location Address Details
Address
11990 Jackson St
City
State
Zip
70722
Phone Number
225-683-5292
Fax Number
225-683-3411
person
Provider Business Mailing Address Details
Address
11990 Jackson St
City
State
Zip
70722
Phone Number
225-683-5292
Fax Number
225-683-3411
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
AP01814 (Louisiana)
Definition
Definition to come...
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