MEDICARE: HANNA LEE

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	171100000X	Acupuncturist	5401000164	MI

General Provider Information

NPI Number	:	1568998268
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNA LEE

Provider Business Mailing Address
First Line	:	501 E COLUMBIA AVE
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5412
Country	:	US
Telephone Number	:	269-441-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	501 E COLUMBIA AVE
Second Line	:
City	:	BATTLE CREEK
State	:	MI
Zip	:	49014-5412
Country	:	US
Telephone Number	:	269-441-1100
Fax Number	:

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

Provider Enumeration Date	:	05/02/2017
Last Update Date	:	01/10/2020

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Directions to “ HANNA LEE ” Practice Location

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