MEDICARE: MS. MARIE MAN-LEE LAI RPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	26020190A	IN

General Provider Information

NPI Number	:	1689876039
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIE MAN-LEE LAI RPH

Provider Business Mailing Address
First Line	:	3251 SW RAYMOND STREET
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126
Country	:	US
Telephone Number	:	206-529-4342
Fax Number	:

Provider Business Practice Location Address
First Line	:	3251 SW RAYMOND ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98126
Country	:	US
Telephone Number	:	206-529-4342
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	07/08/2007

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