Individual
DR. MOO K LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9115 S TACOMA WAY STE 105, LAKEWOOD, WA 98499-4400
(253) 581-4564
(253) 581-6484
Mailing address
9115 S TACOMA WAY STE 105, LAKEWOOD, WA 98499-4400
(253) 581-4564
(253) 581-6484
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22482
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097921
L&I
WA
05
—
1020536
—
WA
Enumeration date
07/20/2006
Last updated
07/08/2007
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