| Doctor Name: | KARLEAH U LEE |
| NPI Number: | 1023490521 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRT. HAIR LOSS SPEC. |
| License Number: | 1204018674 |
| Business Practice Address: | 1519 Autumn Woods Dr Hopewell, VA - 238606662 |
| Business Phone Number: | 8042431606 |
| Business Fax Number: | |
| Mailing Address: | 1519 Autumn Woods Dr, HOPEWELL |
| State: | VA |
| Postal Code: | 238606662 |
| Phone Number: | 8042431606 |
| Fax Number: | |
| NPI Enumeration Date: | 06/22/2015 |
| NPI Last Update Date: | 06/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1744P3200X |
| License Number: | 1204018674 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | Prosthetics Case Management |
| Taxonomy Definition: | |