Doctor Name: | SARAH LEE |
NPI Number: | 1336519438 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | RN 00110192 |
Business Practice Address: | 2929 Mcdougall Ave Enumclaw, WA - 980227410 |
Business Phone Number: | 3608027110 |
Business Fax Number: | 3608027243 |
Mailing Address: | 2929 Mcdougall Ave, ENUMCLAW |
State: | WA |
Postal Code: | 980227410 |
Phone Number: | 3608027110 |
Fax Number: | 3608027243 |
NPI Enumeration Date: | 10/01/2015 |
NPI Last Update Date: | 10/01/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | RN 00110192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |