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General NPI Number Information
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NPI Number | 1821070285
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Entity Type | Individual
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Provider Name | SHERMAN LEE MD
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Gender | Male
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Dates
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Enumeration Date | 11/18/2005
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Last Update Date | 06/17/2009
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Provider Practice Location Address
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Address Line | 14720 MAIN ST NE SUITE 109
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City | DUVALL
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State | WA
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Zip | 98019-8460
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Country | US
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Telephone | 425-788-4889
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Fax | 425-844-6116
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Provider Business Mailing Address
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Address Line | PO BOX 34036
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City | SEATTLE
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State | WA
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Zip | 98124-1036
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Country | US
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Telephone | 425-899-3292
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Fax | 425-899-3269
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD00036778
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License Number State | WA
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