Individual
DR. LEE BURNSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64 RAINIER AVE S, RENTON, WA 98057-2047
(888) 663-6331
(415) 252-7176
Mailing address
64 RAINIER AVE S, RENTON, WA 98057-2047
(425) 224-2144
(425) 341-9653
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD00033954
WA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
MD33954
WA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
MD33954
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
LABOR AND INDUSTRIES # VM
WA
05
—
8205866
—
WA
01
—
9385BU
BLUE SHIELD # VM
WA
01
—
P00307116
RAILROAD MC # VM
WA
01
—
US5478718
AETNA SPECIALIST PIN # VM
WA
Enumeration date
10/19/2005
Last updated
02/03/2026
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