Individual
KATIE HYUN JU LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1522 E A ST, CASPER, WY 82601-2217
(307) 234-6161
Mailing address
415 1ST AVE N UNIT 9486, SEATTLE, WA 98109-4591
(224) 572-1857
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10232A
WY
207Q00000X
Family Medicine Physician
Primary
60672666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2074942
—
WA
Enumeration date
06/17/2013
Last updated
10/21/2022
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