Doctor Name: | ALBERT J LEE |
NPI Number: | 1578853024 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DO |
License Number: | 948 |
Business Practice Address: | Soldier Centered Medical Home Bldg 13815 Joint Base Lewis Mcchord, WA - 984331000 |
Business Phone Number: | 2539666339 |
Business Fax Number: | |
Mailing Address: | Soldier Centered Medical Home, Bldg 13815 JOINT BASE LEWIS MCCHORD |
State: | WA |
Postal Code: | 984331000 |
Phone Number: | 2539666339 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2011 |
NPI Last Update Date: | 08/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 948 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |