MEDICARE: DR. LEE C HANG-FU 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
1	208200000X	Plastic Surgery Physician	35-061505	OH
2	208200000X	Plastic Surgery Physician	4301049252	MI
3	208200000X	Plastic Surgery Physician	25MA05329900	NJ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548286727
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEE C HANG-FU M.D.

Provider Business Mailing Address
First Line	:	21080 LORAIN RD
Second Line	:
City	:	FAIRVIEW PARK
State	:	OH
Zip	:	44126-2127
Country	:	US
Telephone Number	:	440-333-9801
Fax Number	:	440-333-4669

Provider Business Practice Location Address
First Line	:	21080 LORAIN RD
Second Line	:
City	:	FAIRVIEW PARK
State	:	OH
Zip	:	44126-2127
Country	:	US
Telephone Number	:	440-333-9801
Fax Number	:	440-333-4669

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	07/08/2007

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