Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RE0101X | Endocrinologist (Diabetes Doctor) | A75259 | CA |
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | MD60281139 | WA |
NPI | 1033185137 |
---|---|
Provider Name | Dr. Grace A Lee |
First Address | Seattle, WA 98101-2756 |
Second Address | Seattle, WA 98101-2756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 23/12/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
MD00309 | AK DSHS (01) | AK |