HANS LEE MD INC NPI 1659365013

NPI Information

NPI: 1659365013
Provider Name: HANS LEE MD INC

Doing Business As: LEES SURGICENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1306 KANAWHA BLVD E
SUITE 100
CHARLESTON, WV
ZIP 25301
Phone: (304) 342-1113
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HANS LEE MD INC is an ambulatory surgical clinic center in Charleston, WV. HANS LEE MD INC NPI is 1659365013. The provider is registered as an organization entity type.
The provider Is Doing Business As Lees Surgicenter.

The provider's business location address is:

1306 KANAWHA BLVD E
SUITE 100
CHARLESTON, WV
ZIP 25301-001
Phone: (304) 342-1113
Fax: (304) 346-2271

The provider's authorized official is Theodore A. Jackson .
The authorized official title is President and has the following contact phone number (304) 342-1113.

The enumeration date for this NPI number is 8/31/2005 and was last updated on 3/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0114231001	MEDICAID	WEST VIRGINIA
2	5110091	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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