Individual
DR. JASON KWANG-GU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 BROADWAY, SUITE 500, SEATTLE, WA 98122-4396
(206) 682-6087
(206) 343-7190
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
MD00046382
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8452575
—
WA
Enumeration date
06/02/2006
Last updated
05/24/2021
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