Hannah Heaston-Lee, PA

NPI #1124418116 in St Louis Park, Minnesota

Provider Information

NPI Number: 1124418116
Entity Type: Individual
Name: Hannah Heaston-Lee, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Jan 28, 2015
Last Updated: Mar 9, 2021

Practice Location

Address: 3850 PARK NICOLLET BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55416-2527
Phone: (952) 993-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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