Provider Demographics
NPI:1568870996
Name:LEE, NORMAN MICHAEL (RPH)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:MICHAEL
Last Name:LEE
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:762 OUTLET COLLECTION DR SW
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98001-6582
Mailing Address - Country:US
Mailing Address - Phone:253-735-0708
Mailing Address - Fax:253-735-0504
Practice Address - Street 1:762 OUTLET COLLECTION DR SW
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98001-6582
Practice Address - Country:US
Practice Address - Phone:253-735-0708
Practice Address - Fax:253-735-0504
Is Sole Proprietor?:No
Enumeration Date:2014-07-29
Last Update Date:2014-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPH00039841183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist