Provider Demographics
NPI:1154846665
Name:LEE, SANGYI (LAC EAMP)
Entity Type:Individual
Prefix:
First Name:SANGYI
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:LAC EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 SE EVERETT MALL WAY STE 19
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-3211
Mailing Address - Country:US
Mailing Address - Phone:512-584-0885
Mailing Address - Fax:
Practice Address - Street 1:607 SE EVERETT MALL WAY STE 5A
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-3210
Practice Address - Country:US
Practice Address - Phone:512-584-0885
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
WA60778380171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist