MEDICARE: GEORGE Y. LEE, MD PS

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	207QB0002X	Obesity Medicine (Family Medicine) Physician	MD00047144	WA
2	174400000X	Specialist	MD00047144	WA

General Provider Information

NPI Number	:	1558543538
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGE Y. LEE, MD PS

Provider Business Mailing Address
First Line	:	16416 SE 66TH ST
Second Line	:
City	:	BELLEVUE
State	:	WA
Zip	:	98006-5433
Country	:	US
Telephone Number	:	706-264-4446
Fax Number	:	208-666-1642

Provider Business Practice Location Address
First Line	:	1601 116TH AVE NE
Second Line	:	SUITE 111
City	:	BELLEVUE
State	:	WA
Zip	:	98004-3010
Country	:	US
Telephone Number	:	425-502-7982
Fax Number	:	208-666-1642

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. GEORGE Y LEE
Credential	:	MD
Telephone Number	:	706-264-4446

Provider Enumeration Date	:	11/30/2007
Last Update Date	:	11/30/2007

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