Provider Demographics
NPI:1346303708
Name:LEE, FRANKLIN WAH SOO (MT)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:WAH SOO
Last Name:LEE
Suffix:
Gender:M
Credentials:MT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3212 LOULU ST # A
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-1271
Mailing Address - Country:US
Mailing Address - Phone:808-779-7333
Mailing Address - Fax:
Practice Address - Street 1:1123 11TH AVE STE 302A
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96816-2433
Practice Address - Country:US
Practice Address - Phone:808-779-7333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI4791174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist