Provider Demographics
NPI:1417268780
Name:SONE, PETER LEE (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:LEE
Last Name:SONE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 DRESDEN DR
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:CA
Mailing Address - Zip Code:95648-8803
Mailing Address - Country:US
Mailing Address - Phone:916-543-5480
Mailing Address - Fax:
Practice Address - Street 1:NAVAL HEALTH CLINIC OAK HARBOR 3475 N SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:OAK HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98278-0001
Practice Address - Country:US
Practice Address - Phone:360-257-9501
Practice Address - Fax:360-257-9878
Is Sole Proprietor?:No
Enumeration Date:2010-07-01
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101250807207Q00000X
TXS6745207Q00000X
CA171689207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine