Provider Demographics
NPI:1033258827
Name:LEE, HEENA K (MD)
Entity Type:Individual
Prefix:
First Name:HEENA
Middle Name:K
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 KENT ST
Mailing Address - Street 2:APT. 3
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7947
Mailing Address - Country:US
Mailing Address - Phone:781-326-7700
Mailing Address - Fax:
Practice Address - Street 1:WESTWOOD MANSFIELD PEDIATRIC ASSOC
Practice Address - Street 2:541 HIGH STREET
Practice Address - City:WESTWOOD
Practice Address - State:MA
Practice Address - Zip Code:02090
Practice Address - Country:US
Practice Address - Phone:781-326-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA220687208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics