Individual
DANIEL JAESUH LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1303 PACIFIC AVE, EVERETT, WA 98201-4234
(425) 339-5476
(425) 259-6069
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431
(805) 648-9833
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A 118609
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD60954929
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2136274
—
WA
Enumeration date
04/09/2010
Last updated
03/25/2022
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