Koo, Andrew Lee-Wah
Koo, Andrew Lee-Wah is an individual health care provider with primary practice located at 1 Medical Center Dr , Lebanon NH 03756-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Koo, Andrew Lee-Wah can be contacted via phone (603) 650-5000.Contact Information
Primary practice address
1 Medical Center Dr
Lebanon NH 03756-0001
Phone: (603) 650-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 14590 | New Hampshire |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 042-0011961 | Vermont |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 042-0011961 | Vermont |
Profile Details
| NPI number | 1730281668 |
|---|---|
| LBN Legal business name | Koo, Andrew Lee-Wah |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 1st, 2006 |
| Last updated | Aug 18th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730281668 | NPPES |
| Vermont | MEDICAID | 1017794 |
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