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NPI Code Detail

MEDICARE: HANHEUNG LEE M.D.

MEDICARE:   HANHEUNG  LEE  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2171100000XAcupuncturist
3273R00000XPsychiatric Hospital Unit4301038023MI

General Provider Information

NPI Number : 1477572469
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANHEUNG LEE M.D.
Provider Business Mailing Address
First Line : 613 ABBOTT ST
Second Line :
City : DETROIT
State : MI
Zip : 48226-1348
Country : US
Telephone Number : 313-635-4202
Fax Number : 313-635-4202
Provider Business Practice Location Address
First Line : 10 PETERBORO ST
Second Line :
City : DETROIT
State : MI
Zip : 48201-2722
Country : US
Telephone Number : 313-221-8595
Fax Number : 313-221-8595
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2006
Last Update Date : 05/10/2024

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Directions to “ HANHEUNG LEE M.D.” Practice Location

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