Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 09496 | WV |
N | 208600000X | Surgeon | 09496 | WV |
N | 2082S0105X | Plastic Hand Surgeon | 09496 | WV |
Y | 2086S0122X | Plastic and Reconstructive Surgery | 09496 | WV |
NPI | 1255324869 |
---|---|
Provider Name | Dr. Hans S. Lee |
First Address | Charleston, WV 25301-3001 |
Second Address | Charleston, WV 25301-3001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2005 |
Last Update Date | 18/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0114231000 | (05) | WV |
D91187 | (02) |