Organization
CITY SOUTH DERMATOLOGY PLLC
Active
Other names
City South Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LEE-TSONG LIN MD (GOVERNOR)
(617) 412-1987
Entity
Organization
Contact information
Practice address
24604 104TH AVE SE, KENT, WA 98030-5385
(617) 412-1987
Mailing address
3715 196TH ST SW UNIT 2058, LYNNWOOD, WA 98036-3202
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
09/14/2020
Last updated
09/18/2020
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