Individual
TONY T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
307 S 12TH AVE, SUITE #17, YAKIMA, WA 98902-3100
(509) 969-9393
(509) 202-4603
Mailing address
307 S 12TH AVE, SUITE #17, YAKIMA, WA 98902-3100
(509) 969-9393
(509) 202-4603
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
MD2011-0617
NM
2084N0400X
Neurology Physician
Primary
MD60295880
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0299655
L&I AND CRIME VICTIMS
WA
01
—
1477692416
TRI-WEST (TRICARE)
WA
05
—
1477692416
—
WA
Enumeration date
02/06/2007
Last updated
04/16/2015
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