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Individual

MAX M LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
19711 1ST AVE S, NORMANDY PARK, WA 98148-2401
(206) 824-2183
Mailing address
19711 1ST AVE S, NORMANDY PARK, WA 98148-2401
(206) 824-2183

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00017854
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1592708
WA
01
760111256
RR MEDICARE
WA
Enumeration date
08/19/2005
Last updated
04/06/2015
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