Provider Demographics
NPI:1043502131
Name:LEE, EUGENE J (DC)
Entity Type:Individual
Prefix:DR
First Name:EUGENE
Middle Name:J
Last Name:LEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12505 BEL-RED RD STE. 188
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005
Mailing Address - Country:US
Mailing Address - Phone:425-484-9023
Mailing Address - Fax:206-309-9063
Practice Address - Street 1:12505 BEL-RED RD STE. 188
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:425-484-9023
Practice Address - Fax:206-309-9063
Is Sole Proprietor?:No
Enumeration Date:2011-05-06
Last Update Date:2016-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH60206726111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor