Lee, Larry
Lee, Larry is an individual health care provider with primary practice located at 700 Ne 87Th Ave Ste270, Vancouver WA 98664-1913. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Lee, Larry can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
700 Ne 87Th Ave Ste270
Vancouver WA 98664-1913
Phone: (360) 882-2778
Fax: (360) 604-1763
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | MD00035303 | Washington |
Profile Details
| NPI number | 1134160682 |
|---|---|
| LBN Legal business name | Lee, Larry |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2006 |
| Last updated | Jul 2nd, 2015 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134160682 | NPPES |
| Washington | MEDICAID | 8211039 |
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