Provider Demographics
NPI:1720057219
Name:DRS LEE & LEE PS
Entity type:Organization
Organization Name:DRS LEE & LEE PS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HI
Authorized Official - Middle Name:Y
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:509-328-3430
Mailing Address - Street 1:17 E EMPIRE AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-1707
Mailing Address - Country:US
Mailing Address - Phone:509-328-3430
Mailing Address - Fax:509-328-6178
Practice Address - Street 1:17 E EMPIRE AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99207-1707
Practice Address - Country:US
Practice Address - Phone:509-328-3430
Practice Address - Fax:509-328-6178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-16
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WACP7571OtherRAILROAD MEDICARE