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Individual

NATHANIEL LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
24080 SE KENT KANGLEY RD, MAPLE VALLEY, WA 98038-6851
(253) 372-7680
Mailing address
23106 SE EVERGREEN ST, BLACK DIAMOND, WA 98010-5107
(813) 417-1789

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
70014785
WA

Other

Enumeration date
04/05/2022
Last updated
07/22/2026
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