Provider Demographics
NPI:1922233535
Name:LEE, DONALD Y (DDS, PS)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:Y
Last Name:LEE
Suffix:
Gender:M
Credentials:DDS, PS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4957 LAKEMONT BLVD. SE, C-4
Mailing Address - Street 2:
Mailing Address - City:BELLEUVE
Mailing Address - State:WA
Mailing Address - Zip Code:98006-7801
Mailing Address - Country:US
Mailing Address - Phone:425-401-1366
Mailing Address - Fax:425-223-5612
Practice Address - Street 1:4957 LAKEMONT BLVD. SE, C-4
Practice Address - Street 2:
Practice Address - City:BELLEUVE
Practice Address - State:WA
Practice Address - Zip Code:98006-7801
Practice Address - Country:US
Practice Address - Phone:425-401-1366
Practice Address - Fax:425-223-5612
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-27
Last Update Date:2009-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAGA 10000276207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA5032768Medicaid