Provider Demographics
NPI:1346330453
Name:LEE, DAVID TW (DO)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:TW
Last Name:LEE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 235889
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96823-3516
Mailing Address - Country:US
Mailing Address - Phone:808-587-8322
Mailing Address - Fax:808-587-8325
Practice Address - Street 1:1329 LUSITANA ST
Practice Address - Street 2:SUITE 809
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-2429
Practice Address - Country:US
Practice Address - Phone:808-587-8322
Practice Address - Fax:808-587-8325
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2008-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIDOS-777207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI00E0212612OtherHMSA
HI53864Medicare ID - Type Unspecified
HIF98608Medicare UPIN