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Individual

DR. CHANG-JUI LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
106 LAKE AVE SOUTH, RENTON, WA 98057
(425) 235-9901
(425) 235-1132
Mailing address
PO BOX 3334, WEST SOMERSET, KY 42564-3334
(425) 235-9901
(425) 235-1132

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CH00034749
WA
111N00000X
Chiropractor
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08132084
BCBSIL
IL
Enumeration date
03/21/2006
Last updated
12/12/2007
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