Hansel Lee

NPI 1366861866 - Family Medicine - 207Q00000X

NPI Details
NPI 1366861866
Gender Male
Enumeration Date 04/11/2014
Last Updated 04/11/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
825 FAIRFAX AVE
NORFOLK VA, 23507-1914, US
Phone (757) 446-5955
Fax
Business Location
825 FAIRFAX AVE
NORFOLK VA, 23507-1914, US
Phone
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Virginia
License Number 390200000
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According to our database, Hansel Lee NPI is 1366861866, taxonomy code is 207Q00000X and license number is 390200000, license state is located at Virginia. Hansel Lee physically located at 825 Fairfax Ave, Norfolk VA, 23507-1914. NPI Number Hansel Lee has the Individual type.

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1366861866 NPI number is provided on an as is basis without warranty of any kind. 1366861866 is maintained by the National Plan & Provider Enumeration System. The contents of Hansel Lee are for informational purposes only.