Individual
HANNAH E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2705 N LEBANON ST STE 365, LEBANON, IN 46052-8628
(765) 485-8340
(765) 485-8349
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003964A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300083323
—
IN
Enumeration date
07/13/2023
Last updated
04/24/2024
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