David T Lee MD Internal Medicine LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

WA00034070 Issued in WA

Legal business name

DAVID T LEE MD INTERNAL MEDICINE LLC

Practice address

406 SE 131St Ave
Suite 109
Vancouver, WA 98683-4004

Phone

(360) 828-1378

Fax

(360) 834-1994

NPI assigned

Feb 24, 2011

Last updated

Mar 10, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Techang Lee, M.D.NPI 1356305247

Title

Ceo

Phone

(360) 281-0970

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David T Lee, MD

  • Internal Medicine Physician
  • Vancouver, WA
  • NPI 1356305247
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1298505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1164729398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 87784",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986877784",
            "telephone_number": "360-828-1378",
            "fax_number": "360-834-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 SE 131ST AVE",
            "address_2": "SUITE 109",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986834004",
            "telephone_number": "360-828-1378",
            "fax_number": "360-834-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID T LEE MD INTERNAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-24",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TECHANG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "360-281-0970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "WA00034070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarshene Nicole Daugherty, LMP
• Dayna Louise Davenport-Dickson
• Nina Davenport
• Opal Davenport
• David a Keller DDS PLLC
• David T Morgan PHD Inc
• David W Agnor PHD PC (Senior Connections)
• David W Agnor PHD PC (Senior Connections)
• David W Agnor PHD PC (Senior Connections)
• David W Agnor PHD PC (Senior Connections)

• Primary Care Clinic/Center in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.