Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208D00000X | General Practice Physician | MD18444 | WA |
NPI | 1013141829 |
---|---|
Provider Name | Ming Sing Lee |
First Address | Sammamish, WA 98074-6208 |
Second Address | Sammamish, WA 98074-6208 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2009 |
Last Update Date | 07/05/2009 |