Doctor Name: | DR. DAVID WING LEE |
NPI Number: | 1245554138 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | PO-202 |
Business Practice Address: | 415 Dairy Rd Suite D Kahului, HI - 967322348 |
Business Phone Number: | 8088773668 |
Business Fax Number: | 8088773248 |
Mailing Address: | 415 Dairy Rd, Suite D KAHULUI |
State: | HI |
Postal Code: | 967322348 |
Phone Number: | 8088773668 |
Fax Number: | 8088773248 |
NPI Enumeration Date: | 03/21/2010 |
NPI Last Update Date: | 05/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | PO-202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |