Individual
DR. LEE C HANG-FU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
21080 LORAIN RD, FAIRVIEW PARK, OH 44126-2127
(440) 333-9801
(440) 333-4669
Mailing address
21080 LORAIN RD, FAIRVIEW PARK, OH 44126-2127
(440) 333-9801
(440) 333-4669
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
25MA05329900
NJ
208200000X
Plastic Surgery Physician
Primary
35-061505
OH
208200000X
Plastic Surgery Physician
4301049252
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0846679
—
OH
Enumeration date
07/14/2006
Last updated
07/08/2007
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