Healthcare Provider Details

I. General information

NPI: 1275526964
Provider Name (Legal Business Name): LEE A SANDERS MD INC PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2005
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16251 SYLVESTER RD SW
BURIEN WA
98166-3017
US

IV. Provider business mailing address

16251 SYLVESTER RD SW
BURIEN WA
98166-3017
US

V. Phone/Fax

Practice location:
  • Phone: 206-439-5462
  • Fax:
Mailing address:
  • Phone: 206-592-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0105X
TaxonomyClinical Pathology/Laboratory Medicine Physician
License Number
License Number StateWA

VIII. Authorized Official

Name: GARRETT D ALCORN
Title or Position: PRESIDENT
Credential: MD
Phone: 206-592-5000