Individual
TARA K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
550 17TH AVE STE 110, SEATTLE, WA 98122-5789
(206) 320-3470
(206) 320-3471
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP61171117
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2263431
—
WA
Enumeration date
07/22/2021
Last updated
12/14/2023
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