MEDICARE: WILLIAM SY LEE MD

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	207R00000X	Internal Medicine Physician	MD00028243	WA
2	207RC0000X	Cardiovascular Disease Physician	MD00028243	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285626325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM SY LEE MD

Provider Business Mailing Address
First Line	:	3124 S 19TH ST # 140
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-2433
Country	:	US
Telephone Number	:	253-792-6510
Fax Number	:

Provider Business Practice Location Address
First Line	:	3124 S 19TH ST # 140
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98405-2433
Country	:	US
Telephone Number	:	253-792-6510
Fax Number	:

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

Provider Enumeration Date	:	08/16/2005
Last Update Date	:	06/04/2015

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Directions to “ WILLIAM SY LEE MD” Practice Location

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