Provider Demographics
NPI:1275826380
Name:DUGAS, LEE (LPN)
Entity Type:Individual
Prefix:MR
First Name:LEE
Middle Name:
Last Name:DUGAS
Suffix:
Gender:M
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:898 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:OH
Mailing Address - Zip Code:43028-9534
Mailing Address - Country:US
Mailing Address - Phone:740-507-9370
Mailing Address - Fax:
Practice Address - Street 1:898 COUNTRY CLUB DR
Practice Address - Street 2:
Practice Address - City:HOWARD
Practice Address - State:OH
Practice Address - Zip Code:43028-9534
Practice Address - Country:US
Practice Address - Phone:740-507-9370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-23
Last Update Date:2011-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN 129238164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse