Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 57.011330 | OH |
N | 208600000X | Surgeon | 57.011330 | OH |
Y | 2086S0120X | Pediatric Surgery | MD60273378 | WA |
NPI | 1376787366 |
---|---|
Provider Name | Dr. Richy Lee |
First Address | Salt Lake City, UT 84125-0608 |
Second Address | Seattle, WA 98104 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2009 |
Last Update Date | 18/05/2021 |