MEDICARE: DR. BENSON K LEE D.C.

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	111N00000X	Chiropractor	CH00001880	WA

General Provider Information

NPI Number	:	1588615249
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BENSON K LEE D.C.

Provider Business Mailing Address
First Line	:	7401 W HOOD PL STE 118
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-3400
Country	:	US
Telephone Number	:	509-737-1304
Fax Number	:	509-737-1319

Provider Business Practice Location Address
First Line	:	7401 W HOOD PL STE 118
Second Line	:
City	:	KENNEWICK
State	:	WA
Zip	:	99336-3400
Country	:	US
Telephone Number	:	509-737-1304
Fax Number	:	509-737-1319

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

Provider Enumeration Date	:	05/15/2006
Last Update Date	:	10/28/2021

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