Organization
KEN P LEE MD PLLC
Active
Organization
KEN P LEE MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEN P LEE MD (MEMBER PRESIDENT)
(360) 705-3061
Entity
Organization
Contact information
Practice address
2740 PACIFIC AVE SE, OLYMPIA, WA 98501
(360) 705-3061
(360) 705-2965
Mailing address
PO BOX 11009, OLYMPIA, WA 98508-1009
(360) 352-2037
(360) 352-0637
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD34440
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0113105
LABOR & INDUSTRIES
WA
05
—
1100098
—
WA
01
—
DN9936
RR MEDICARE PALMETTO GBA
WA
Enumeration date
09/08/2006
Last updated
03/30/2011
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