Provider Demographics
NPI:1467972729
Name:SHAWNAREE L. LEE, DO PLLC
Entity Type:Organization
Organization Name:SHAWNAREE L. LEE, DO PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AUDREY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:SCHWARZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-945-4712
Mailing Address - Street 1:3433 NW 56TH ST STE 210B
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4445
Mailing Address - Country:US
Mailing Address - Phone:405-945-4712
Mailing Address - Fax:405-951-8773
Practice Address - Street 1:3433 NW 56TH ST STE 210B
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4445
Practice Address - Country:US
Practice Address - Phone:405-945-4712
Practice Address - Fax:405-951-8773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3760261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service