Basic Information
| Provider Information | |||||||||
| NPI: | 1982239034 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | LEE | ||||||||
| FirstName: | ERIN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 984 EASTWARD CIR | ||||||||
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| City: | ZANESVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437011581 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 3814 JAMES CT | ||||||||
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| City: | ZANESVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437010965 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404547119 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/10/2020 | ||||||||
| LastUpdateDate: | 03/10/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 03/10/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | APRN.CNP.025603 | OH | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.