Individual
DR. EDWARD JAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1501
Mailing address
19020 33RD AVE W STE 210, LYNNWOOD, WA 98036-4748
(425) 563-1500
(425) 563-1374
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD00045848
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0236606
L&I- SWEDISH RADIA EDMONDS
WA
01
—
0236608
L&I-EVERGREEN RADIA
WA
01
—
0369907
L&I-RADIA REST OF WA
WA
01
—
0369908
L&I-RADIA KING COUNTY
WA
05
—
1022938
—
WA
05
—
8475725
—
WA
Enumeration date
08/12/2006
Last updated
03/21/2019
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