Healthcare Provider Details

I. General information

NPI: 1558999730
Provider Name (Legal Business Name): HANNAH J LEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2020
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 MARKET ST FL 3
PHILADELPHIA PA
19104-5545
US

IV. Provider business mailing address

3737 MARKET ST FL 3
PHILADELPHIA PA
19104-5545
US

V. Phone/Fax

Practice location:
  • Phone: 215-294-9011
  • Fax: 215-615-5055
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RA0201X
TaxonomyAllergy & Immunology (Internal Medicine) Physician
License NumberMD485839
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: