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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730281668 NPPES
Vermont MEDICAID 1017794

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