Organization
HANMI MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOO KEUN LEE MD (DOCTOR)
(253) 581-4564
Entity
Organization
Contact information
Practice address
9115 S TACOMA WAY STE 105, LAKEWOOD, WA 98499-4400
(253) 581-4564
(253) 581-6484
Mailing address
9115 S TACOMA WAY STE 105, LAKEWOOD, WA 98499-4400
(253) 581-4564
(253) 581-6484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22482
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1020536
—
WA
Enumeration date
03/19/2007
Last updated
06/24/2010
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