Provider Demographics
NPI:1841727997
Name:JOYCE E LEE DPM PLLC
Entity type:Organization
Organization Name:JOYCE E LEE DPM PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PODIATRIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:425-244-2322
Mailing Address - Street 1:18505 ALDERWOOD MALL PKWY STE D
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98037-8012
Mailing Address - Country:US
Mailing Address - Phone:425-244-2322
Mailing Address - Fax:
Practice Address - Street 1:21616 76TH AVE W STE 109
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98026-7512
Practice Address - Country:US
Practice Address - Phone:425-244-2322
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-20
Last Update Date:2017-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric