Individual
MR. JEONG BUM LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1048 W JAMES ST STE 104, KENT, WA 98032-4600
(253) 850-2800
(253) 850-2805
Mailing address
28210 51ST PL S, AUBURN, WA 98001-1932
(206) 856-3731
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60190442
WA
Other
Enumeration date
11/03/2010
Last updated
11/03/2010
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