Individual
HANNA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
25 CONSTITUTION BLVD S, SHELTON, CT 06484-4351
(203) 924-7334
Mailing address
25 CONSTITUTION BLVD S, SHELTON, CT 06484-4351
(203) 924-7334
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OT017312
PA
208000000X
Pediatrics Physician
Primary
72525
CT
2080P0208X
Pediatric Infectious Diseases Physician
71858
CT
Other
Enumeration date
06/16/2016
Last updated
09/23/2025
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