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Contact Information

KEN P LEE MD PLLC
2740 PACIFIC AVE SE
OLYMPIA, WA98501
 Phone: 360-705-3061
 Fax: 360-705-2965
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KEN P LEE MD PLLC

NPI Number 1689778979
LBN Legal business name KEN P LEE MD PLLC
Authorized official KEN LEE - (MEMBER PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 09/08/2006
Last updated 03/30/2011 - About 15 years ago
Identifiers
WA License # MD34440
WA Medicaid 1100098
WA Other 0113105 LABOR & INDUSTRIES
WA Other DN9936 RR MEDICARE PALMETTO GBA
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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