Healthcare Provider Details

I. General information

NPI: 1891163622
Provider Name (Legal Business Name): LLOYD ANDREW BEE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2015
Last Update Date: 05/09/2024
Certification Date: 05/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 OAKMOUND RD
CLARKSBURG WV
26301-9398
US

IV. Provider business mailing address

PO BOX 217
ROCK CAVE WV
26234-0217
US

V. Phone/Fax

Practice location:
  • Phone: 304-623-6330
  • Fax: 304-623-6220
Mailing address:
  • Phone: 304-924-6262
  • Fax: 304-924-5460

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number79249
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: