Provider Demographics
NPI:1639284060
Name:LE, HIEU TU (HIEU LE)
Entity Type:Individual
Prefix:DR
First Name:HIEU
Middle Name:TU
Last Name:LE
Suffix:
Gender:M
Credentials:HIEU LE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20531 76TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-5166
Mailing Address - Country:US
Mailing Address - Phone:360-481-2367
Mailing Address - Fax:360-481-2367
Practice Address - Street 1:20531 76TH AVE SE
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-5166
Practice Address - Country:US
Practice Address - Phone:360-481-2367
Practice Address - Fax:360-481-2367
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00043784207LC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LC0200XAllopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine