Provider Demographics
NPI:1528381233
Name:MITCHELL-LEE, LORI (ND)
Entity Type:Individual
Prefix:DR
First Name:LORI
Middle Name:
Last Name:MITCHELL-LEE
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 COURT ST N
Mailing Address - Street 2:
Mailing Address - City:RIPLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25271-1207
Mailing Address - Country:US
Mailing Address - Phone:304-532-5412
Mailing Address - Fax:
Practice Address - Street 1:101 COURT ST N
Practice Address - Street 2:
Practice Address - City:RIPLEY
Practice Address - State:WV
Practice Address - Zip Code:25271-1207
Practice Address - Country:US
Practice Address - Phone:304-532-5412
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-09
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No173C00000XOther Service ProvidersReflexologist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No133N00000XDietary & Nutritional Service ProvidersNutritionist