Individual
JENNIFER Y LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
15418 MAIN ST, MILL CREEK, WA 98012-9030
(425) 225-8012
(425) 225-8020
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3903
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD00046846
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013692
—
WA
01
—
MD00046846
LICENSE
WA
Enumeration date
07/27/2006
Last updated
02/01/2019
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