Healthcare Provider Details

I. General information

NPI: 1639340136
Provider Name (Legal Business Name): ADRIENNE WAI-WAH LEE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2008
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8501 OLD TROY PIKE STE 120
HUBER HEIGHTS OH
45424-1061
US

IV. Provider business mailing address

PO BOX 933432
CLEVELAND OH
44193-0039
US

V. Phone/Fax

Practice location:
  • Phone: 937-237-4945
  • Fax: 937-237-4925
Mailing address:
  • Phone: 937-641-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD440300
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35.120351
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: