MEDICARE: JENNIFER Y 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	207K00000X	Allergy & Immunology Physician	MD00046846	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
2	MD00046846	OTHER	WA	LICENSE

General Provider Information

NPI Number	:	1578577516
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER Y LEE MD

Provider Business Mailing Address
First Line	:	PO BOX 5127
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98206-5127
Country	:	US
Telephone Number	:	425-258-3903
Fax Number	:

Provider Business Practice Location Address
First Line	:	15418 MAIN ST
Second Line	:
City	:	MILL CREEK
State	:	WA
Zip	:	98012-9030
Country	:	US
Telephone Number	:	425-225-8012
Fax Number	:	425-225-8020

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

Provider Enumeration Date	:	07/27/2006
Last Update Date	:	02/01/2019

Similar Medicare Providers

1174400535 — JASON WANG
Practice Location Address:

15418 MAIN ST # 200
MILL CREEK, WA
98012-9030

Practice Phone: 425-225-8000
Practice Fax:

1295915379 — MRS. JULIE LINN KINSMAN AU.D.
Practice Location Address:

15418 MAIN ST STE 301
MILL CREEK, WA
98012-9030

Practice Phone: 509-876-0555
Practice Fax: 509-876-0556

1275597551 — ELIZABETH A ORMOND ARNP
Practice Location Address:

15418 MAIN ST
MILL CREEK, WA
98012-9030

Practice Phone: 425-225-8000
Practice Fax:

1700840832 — JEFFREY BISSEY MD
Practice Location Address:

15418 MAIN ST , SUITE 200
MILL CREEK, WA
98012-9030

Practice Phone: 425-225-8002
Practice Fax: 425-225-8021

1992727333 — DR. ROBERT A SCARR MD
Practice Location Address:

15418 MAIN ST , SUITE 200
MILL CREEK, WA
98012-9030

Practice Phone: 425-225-8000
Practice Fax: 425-225-8020

1831285493 — VIRGINIA YIP M.D.
Practice Location Address:

15418 MAIN ST , SUITE 200
MILL CREEK, WA
98012-9030

Practice Phone: 425-225-8000
Practice Fax:

Directions to “ JENNIFER Y LEE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.