Individual
LARRY LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 NE 87TH AVE, STE270, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1763
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1763
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD00035303
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8211039
—
WA
Enumeration date
06/08/2006
Last updated
07/02/2015
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