Individual
HANA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
19500 SANDRIDGE WAY, SUITE 110, LEESBURG, VA 20176-6821
(703) 723-7337
Mailing address
224- D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0024183820
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124751755
—
VA
05
—
30015439220001
—
VA
Enumeration date
07/01/2022
Last updated
03/07/2024
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