Individual
DR. TINA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122-4379
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
M4275
TX
207Q00000X
Family Medicine Physician
MD443886
PA
207Q00000X
Family Medicine Physician
MD61059119
WA
208M00000X
Hospitalist Physician
Primary
MD61059119
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2242000
—
WA
Enumeration date
10/13/2005
Last updated
04/22/2024
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