Healthcare Provider Details

I. General information

NPI: 1306342852
Provider Name (Legal Business Name): ANDREW JAMES LEE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2018
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12911 120TH AVE NE STE H220
KIRKLAND WA
98034-3064
US

IV. Provider business mailing address

12911 120TH AVE NE STE H220
KIRKLAND WA
98034-3064
US

V. Phone/Fax

Practice location:
  • Phone: 425-823-4224
  • Fax: 425-820-8975
Mailing address:
  • Phone: 425-823-4224
  • Fax: 425-820-8975

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD.MD.70111437
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberMD500003157
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License NumberMD.MD.70111437
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: