Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD00046847 | WA |
NPI | 1003844622 |
---|---|
Provider Name | David H Lee |
First Address | Seattle, WA 98124-1888 |
Second Address | Kirkland, WA 98034-7208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 24/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0248245 | LABOR AND INDUSTRIES (01) | WA |
1000101 | (05) | WA |