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Individual

LEI GAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
16233 SYLVESTER RD SW STE 260, BURIEN, WA 98166-3044
(206) 835-7400
(253) 750-6100
Mailing address
16233 SYLVESTER RD SW STE 260, BURIEN, WA 98166-3044
(206) 835-7400
(253) 750-6100

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD.204536
LA
207RC0000X
Cardiovascular Disease Physician
Primary
MD60698217
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03434392
MS
05
2073365
WA
05
2153471
LA
Enumeration date
12/10/2007
Last updated
12/03/2020
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