Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 122400000X | Denturist | DN 00000474 | WA |
NPI | 1649425935 |
---|---|
Provider Name | Mrs. Ok R Lee |
First Address | Redmond, WA 98053-2801 |
Second Address | Seattle, WA 98125-6358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/12/2008 |
Last Update Date | 01/12/2008 |