Individual
EDWARD SUNGWON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
11800 NE 128TH ST FL 5, KIRKLAND, WA 98034-7208
(425) 899-5200
(425) 899-5204
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036109991
IL
207Q00000X
Family Medicine Physician
Primary
OP60219951
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
834340
MEDICARE GROUP PTAN
IL
01
—
834340022
MEDICARE PTAN
IL
01
—
834370
MEDICARE GROUP #
IL
Enumeration date
07/12/2006
Last updated
04/23/2026
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