EDWARD SUNGWON LEE


Address: 2902 164th St Sw, Bldg E1, Lynnwood, WA 98087-3201
Phone: 4257417750

EDWARD SUNGWON LEE (NPI# 1033134267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1033134267
Entity Type Individual
Full Name EDWARD SUNGWON LEE
Credential DO
Practice Address 2902 164th St Sw
Bldg E1
Lynnwood
WA 98087-3201
Mailing Address Po Box 3360
Portland
OR 97208-3360
Practice Telephone 4257417750
Practice Fax Number 4256784680
Mailing Telephone 8663662983
Enumeration Date 2006-07-12
Last Update Date 2015-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine OP60219951 WA Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 036109991 IL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IL MEDICARE GROUP # 834370 01
IL MEDICARE GROUP PTAN 834340 01
IL MEDICARE PTAN 834340022 01

Other Providers EDWARD LEE

NPI Name Taxonomy Address Enumeration
1528697620 Edward Lee Student in an Organized Health Care Education/Training Program 3214 E Race St, Searcy, AR 72143 2020-04-02
1811550304 Edward Wahn Lee Student in an Organized Health Care Education/Training Program 130 Hartford Road, Manchester, CT 06040 2019-04-19
1700165495 Edward Lee Pharmacist 216 West 72nd St, New York, NY 10023 2011-08-11
1083945968 Edward Ilho Lee Plastic Surgery 546 Waugh Dr, Houston, TX 77019 2010-01-16
1679809206 Edward Lee Acupuncturist 89 5th Ave Ste 305, New York, NY 10003-3020 2009-11-02
1669600326 Edward Howe Lee Internal Medicine 106 South Dennis Rd, Cape May Court House, NJ 08210 2009-07-01
1235377664 Edward Haniel Lee Acupuncturist 8780 Van Nuys Blvd Ste A, Panorama City, CA 91402-2453 2009-01-22
1215189550 Edward Wolfgang Lee Radiology 757 Westwood Plz Ste 2125b, Los Angeles, CA 90095-8358 2008-10-17
1487866588 Edward Wan-jae Lee Ophthalmology 5363 Balboa Blvd., Suite 545, Encino, CA 91316 2007-05-03
1124249214 Edward Stanley Lee Dentist 2301 Vicente Street, San Francisco, CA 94116 2007-05-02

Office Location

Street Address 2902 164TH ST SW
BLDG E1
City LYNNWOOD
State WA
Zip Code 98087-3201

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770071490 Ruby A Godina Counselor 2902 164th St Sw, Lynnwood, WA 98087-3201 2018-04-27
1609306257 Diana Schar Massage Therapist 2902 164th St Sw, North Point Plaza, D1, Lynnwood, WA 98087 2017-06-15
1669912424 Vi Valentine Massage Therapist 2902 164th St Sw, Suite D1, Lynnwood, WA 98087-3201 2017-02-27
1467828780 Coleman Chern Massage Therapist 2902 164th St Sw, Suite D1, Lynnwood, WA 98087-3201 2015-08-20
1376936765 Manuela Perkins Pharmacist 2902 164th St Sw, Lynnwood, WA 98087-3201 2015-03-10
1730586041 Kacey Turner Massage Therapist 2902 164th St Sw, D1, Lynnwood, WA 98087-3201 2014-12-02
1871839084 Precision Family Vision, Pllc Optometrist 2902 164th St Sw, Suite G-2, Lynnwood, WA 98087-3201 2012-12-14
1851665079 Heidi Bernhoft Pharmacist 2902 164th St Sw, Lynnwood, WA 98087-3201 2012-03-06
1205100781 Andrea S Giles Pharmacist 2902 164th St Sw, Lynnwood, WA 98087-3201 2012-03-01
1437423043 Diwakar Thapa Pharmacist 2902 164th St Sw, Lynnwood, WA 98087-3201 2012-02-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568022341 Romina Kim Behavioral Analyst 14228 26th Ave W, Unit A, Lynnwood, WA 98087 2019-06-14
1710542048 Dwight Hendricks Massage Therapist 2902 164th Street Sw, Suite D1, Lynnwood, WA 98087 2019-05-02
1134603822 Pamela C Brown-seely Counselor 15914 44th Ave W, M-208, Lynnwood, WA 98087 2018-09-19
1699213678 Kyra Ripley Counselor 13821 Beverly Park Rd, Lynnwood, WA 98087 2017-02-09
1144634411 Gloria Orias Contractor 14421 Ash Way, Lynnwood, WA 98087 2014-06-16
1134548316 Nguyen & Nguyen Dds, Pllc Clinic/Center 15620 Highway 99, Suite 4, Lynnwood, WA 98087 2014-04-15
1659526341 Hee-jin Yang Dentist 1418 164th St Sw Ste 100, Lynnwood, WA 98087 2008-11-21
1972795342 Linda Marie Bowen Counselor 1120 164th St Sw, Lynnwood, WA 98087 2007-08-09
1649475799 Martha Lake Dental Center Dentist 1233 164th St Sw, Ste #h, Lynnwood, WA 98087 2007-06-19
1154532042 Atlas Chiropractic Clinic, LLC Chiropractor 14608 Hwy 99 Suite309, Lynnwood, WA 98087 2007-05-24
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144768151 A2nk, Pllc Family Medicine 19230 Alderwood Mall Pkwy, Suite 120, Lynnwood, WA 98036-4869 2017-02-09
1013049741 Community Health Center of Snohomish County Family Medicine 4111 194th St Sw Ste 100, Lynnwood, WA 98036-4604 2007-03-09
1073528766 Stanley D Borish Family Medicine 19526 64th W, Lynnwood, WA 98036-5100 2006-07-30
1194739987 Tanya I Bryant Family Medicine 6101 200th St Sw, Ste 208, Lynnwood, WA 98036-6077 2006-07-28
1598792657 Joseph O Aiyenowo Family Medicine 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 2006-06-26
1073578704 Casey Kwon Kim Family Medicine 18623 Highway 99, Ste 230, Lynnwood, WA 98037-4552 2006-04-18
1396711487 Elisa Marie Frost Granger Family Medicine 20200 54th Ave W, Lynnwood, WA 98036-6318 2006-02-27
1225027006 Phyllis A.m. Hollenbeck Family Medicine 19401 40th Ave W, Suite 100, Lynnwood, WA 98036-4612 2005-10-14
1407852742 Laurie L Kreiter Family Medicine 19116 33rd Ave W, Lynnwood, WA 98036-4706 2005-06-22
1760918205 Sang Won Family Medicine 19401 40th Ave W Ste 230, Lynnwood, WA 98036-5675 2017-05-03
Find all providers in LYNNWOOD

Competitor

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City LYNNWOOD
Zip Code 98087

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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