Individual
MRS. JENNIFER M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
12039 NE 128TH ST STE 500, KIRKLAND, WA 98034-3029
(425) 899-2365
(425) 899-2375
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5307
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD60223718
WA
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD60223718
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0279954
L & I
WA
05
—
1386823029
—
WA
01
—
8901077
MEDICARE
WA
01
—
MD60223718
MEDICAL LICENSE NUMBER
WA
Enumeration date
06/08/2007
Last updated
01/04/2022
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