Individual
LISA A LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3516 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 456-1600
(360) 456-6504
Mailing address
3516 12TH AVE NE, OLYMPIA, WA 98506-5218
(360) 456-6504
(360) 456-2080
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00040317
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1005648
—
WA
Enumeration date
10/04/2006
Last updated
12/19/2018
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