Individual
DR. MICHAEL H. LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3209 S 23RD ST, SUITE 340, TACOMA, WA 98405-1602
(253) 272-8148
(253) 404-0506
Mailing address
2420 S UNION AVE, STE 200, TACOMA, WA 98405-1322
(253) 272-8148
(253) 404-0506
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
51193-20
WI
207RG0100X
Gastroenterology Physician
57.010532
OH
207RG0100X
Gastroenterology Physician
Primary
TD60102809
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8545972
—
WA
01
—
CD8128
RR MEDICARE #
WA
Enumeration date
05/16/2007
Last updated
04/09/2014
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