Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO60159067 | WA |
Y | 222Z00000X | Podiatrist | PO60159067 | WA |
N | 213ES0103X | Foot & Ankle Surgery | PO3542 | FL |
N | 213ES0103X | Foot & Ankle Surgery | PO60159067 | WA |
N | 213ES0103X | Foot & Ankle Surgery | SC006000 | PA |
NPI | 1093952616 |
---|---|
Provider Name | Hubert W Lee |
First Address | Bellevue, WA 98005 |
Second Address | Bellevue, WA 98005-2608 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/01/2009 |
Last Update Date | 27/01/2020 |