Provider Demographics
NPI:1235290305
Name:LEE, PAUL ALFRED (MD)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:ALFRED
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8009 SOUTH 180TH STREET
Mailing Address - Street 2:SUITE 103
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-1042
Mailing Address - Country:US
Mailing Address - Phone:425-656-4255
Mailing Address - Fax:425-656-4003
Practice Address - Street 1:400 S 43RD ST
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98055-5714
Practice Address - Country:US
Practice Address - Phone:425-228-3440
Practice Address - Fax:425-656-5016
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2009-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMT184099207P00000X
WAMD 60074977207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine