Provider Demographics
NPI:1467557538
Name:LEE, TIMOTHY L (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:L
Last Name:LEE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2796 MILO HAE LOOP
Mailing Address - Street 2:
Mailing Address - City:KOLOA
Mailing Address - State:HI
Mailing Address - Zip Code:96756-9512
Mailing Address - Country:US
Mailing Address - Phone:808-651-1581
Mailing Address - Fax:
Practice Address - Street 1:4439 PAHEE ST
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-2032
Practice Address - Country:US
Practice Address - Phone:808-246-0051
Practice Address - Fax:808-246-4816
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2015-04-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HIMD-5846207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology