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NPI Code Detail

MEDICARE: LINDA KYONG LEE DNP, ARNP, FNP-C

MEDICARE: LINDA KYONG LEE DNP, ARNP, FNP-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
1363LF0000XFamily Nurse PractitionerAP61433581WA

General Provider Information

NPI Number : 1780373746
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA KYONG LEE DNP, ARNP, FNP-C
Provider Business Mailing Address
First Line : 604 OAKESDALE AVE SW STE 102
Second Line :
City : RENTON
State : WA
Zip : 98057-5204
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 604 OAKESDALE AVE SW STE 102
Second Line :
City : RENTON
State : WA
Zip : 98057-5204
Country : US
Telephone Number : 206-235-4988
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2023
Last Update Date : 05/04/2023

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