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Individual

DR. STANFORD LEE-YU PENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD, PHD, FACP

Contact information

Practice address
188 E BLAINE ST STE 200, SEATTLE, WA 98102-3983
(206) 785-4545
Mailing address
188 E BLAINE ST STE 200, SEATTLE, WA 98102-3983
(206) 788-4545
(206) 316-8383

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A92894
CA
207R00000X
Internal Medicine Physician
MD60063017
WA
207RR0500X
Rheumatology Physician
A92894
CA
207RR0500X
Rheumatology Physician
Primary
MD60063017
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A928940
CA
Enumeration date
06/19/2006
Last updated
02/12/2021
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