Dana Marie Lee, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD60544466 Issued in WA

Practice address

3021 Griffin Ave
Enumclaw, WA 98022

Phone

(360) 825-6511

Fax

(360) 802-5036

NPI assigned

Aug 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1295849321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14520 188TH AVE E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983916160",
            "telephone_number": "808-769-1447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 GRIFFIN AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "98022",
            "telephone_number": "360-825-6511",
            "fax_number": "360-802-5036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "DANA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-18",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "HI",
            "license": "HI11421",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD60544466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "50529001",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Ladderud, MSOT
• Leanne Vanessa Lamb, MSN, RN, AGNP-C
• Terah R Lara, LM, CPM
• Daniel Latorre, MS
• Cassie Lee
• Sarah Lee
• Serena Lee, LMP, BS
• Katey Suzanne Lent
• Suzanne Mae Lewis, PT
• Yongqing Li, MD

• Pediatrics Physician in Enumclaw, WA
• Providers in Enumclaw, WA by specialty
• Pediatrics Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2018; 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.