Individual
FAYZEL S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7000
Mailing address
PO BOX 97115, LAKEWOOD, WA 98497-0115
(253) 588-7911
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
100143
WI
207L00000X
Anesthesiology Physician
Primary
MD00039339
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100221678
—
WI
05
—
1112945
—
WA
Enumeration date
06/13/2005
Last updated
02/01/2023
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