Individual
ANDY L LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST BOX 356540, SEATTLE, WA 98195-0001
(206) 543-2773
Mailing address
314 MLK JR. WAY, SUITE 212, TACOMA, WA 98405
(253) 274-1668
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD61046623
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033573969
—
WA
Enumeration date
04/06/2016
Last updated
05/27/2020
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