Provider Demographics
NPI:1568897197
Name:LEE, YOJAE (EAMP)
Entity Type:Individual
Prefix:
First Name:YOJAE
Middle Name:
Last Name:LEE
Suffix:
Gender:M
Credentials:EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7500 212TH ST SW STE 110
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98026-7615
Mailing Address - Country:US
Mailing Address - Phone:425-599-5400
Mailing Address - Fax:
Practice Address - Street 1:7500 212TH ST SW STE 110
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7615
Practice Address - Country:US
Practice Address - Phone:425-599-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-13
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAC 60182690171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist