Provider Demographics
NPI:1316678196
Name:LEE, ALLISON YUENWAI (PA-C)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:YUENWAI
Last Name:LEE
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:YUEN WAI
Other - Middle Name:
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:9104 BABCOCK BLVD STE 6000
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5818
Mailing Address - Country:US
Mailing Address - Phone:412-358-9613
Mailing Address - Fax:412-358-9619
Practice Address - Street 1:9104 BABCOCK BLVD STE 6000
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5818
Practice Address - Country:US
Practice Address - Phone:412-358-9613
Practice Address - Fax:412-358-9619
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-22
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA063658363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant