Provider Demographics
NPI:1275570988
Name:LEE, HANNAH M (MD)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:M
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:PO BOX 980341
Mailing Address - Street 2:1200 E. BROAD ST., 14TH FLOOR
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23298
Mailing Address - Country:US
Mailing Address - Phone:804-828-4060
Mailing Address - Fax:804-828-5348
Practice Address - Street 1:1200 E. BROAD ST, 14TH FLOOR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23298
Practice Address - Country:US
Practice Address - Phone:804-828-4060
Practice Address - Fax:804-828-5348
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2016-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA209400207RG0100X
VA0101259617207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology