Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | MD60061916 | WA |
Y | 111NI0900X | Internist | MD60061916 | WA |
N | 207RG0300X | Geriatric Medicine | MD60061916 | WA |
N | 207RH0002X | Hospice and Palliative Medicine | MD60061916 | WA |
NPI | 1386788784 |
---|---|
Provider Name | Angie K Lee |
First Address | Vancouver, WA 98683-9324 |
Second Address | Bellingham, WA 98225-1945 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/02/2007 |
Last Update Date | 13/11/2021 |