Provider Demographics
NPI:1285230821
Name:LEE, ASCHIA LYNETTE
Entity Type:Individual
Prefix:
First Name:ASCHIA
Middle Name:LYNETTE
Last Name:LEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:788 CLEVELAND AVE APT 203
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-1740
Mailing Address - Country:US
Mailing Address - Phone:304-549-6226
Mailing Address - Fax:
Practice Address - Street 1:788 CLEVELAND AVE APT 203
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-1740
Practice Address - Country:US
Practice Address - Phone:304-549-6226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant