Individual
MARIE E LEE
Active
Individual
MARIE E LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00021566
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039587
LABOR & INDUSTRY
WA
01
—
1861408791
MONTANA MEDICAID
WA
01
—
300042841
RAILROAD MEDICARE
—
01
—
808560700
IDAHO DSHS
WA
05
—
8620205
—
WA
01
—
L468
BLUE SHIELD
WA
01
—
MD656WA
ALASKA MEDICAID
WA
01
—
US0861592
AETNA/USHC SPECIALIST
WA
Enumeration date
07/31/2006
Last updated
09/12/2013
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