Dr Min Kuk Lee, MD | |
139 1st Ave Sw, Castle Rock, WA 98611 | |
(360) 274-2353 | |
(360) 274-7439 |
Full Name | Dr Min Kuk Lee |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 8 Years |
Location | 139 1st Ave Sw, Castle Rock, Washington |
Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548693104 | NPI | - | NPPES |
2136341 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD60861176 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Assured Home Health And Hospice | Centralia, WA | Home health agency |
Peacehealth St John Medical Center | Longview, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cowlitz Family Health Center | 5991696395 | 19 |
Entity Name | Cowlitz Family Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891724506 PECOS PAC ID: 5991696395 Enrollment ID: O20040324000330 |
Mailing Address | Practice Location Address |
---|---|
Dr Min Kuk Lee, MD 1057 12th Ave, Longview, WA 98632-2509 Ph: (360) 425-9210 | Dr Min Kuk Lee, MD 139 1st Ave Sw, Castle Rock, WA 98611 Ph: (360) 274-2353 |
Dr. Philip William Blair, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 237 Michner St Sw, Castle Rock, WA 98611 Phone: 360-635-0126 | |
Emma V. Torres-baltazar, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 606 Se Roake St. / Avenue, Castle Rock Medical Clinic, Castle Rock, WA 98611 Phone: 360-274-4179 Fax: 360-274-8970 |