Individual
JUSTIN C LEE
Active
Individual
JUSTIN C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C146229
CA
207R00000X
Internal Medicine Physician
MD00042338
WA
207RC0000X
Cardiovascular Disease Physician
Primary
C146229
CA
207RC0000X
Cardiovascular Disease Physician
MD00042338
WA
208000000X
Pediatrics Physician
C146229
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8417545
—
WA
Enumeration date
06/07/2006
Last updated
04/22/2024
Update your record
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