Individual
HANNAH HEASTON-LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3400
(952) 993-3286
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12705
MN
363A00000X
Physician Assistant
PA9108473
FL
Other
Enumeration date
01/28/2015
Last updated
03/09/2021
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