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Individual

SUK BO LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1330 ROCKEFELLER AVE STE 310, EVERETT, WA 98201-1677
(423) 339-5476
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3903

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27365
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007837
WA
Enumeration date
09/13/2006
Last updated
12/13/2012
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