| Hanmi Medical Clinic Llc | |
|
9115 S Tacoma Way Ste 105 Lakewood WA 98499-4400 | |
| (253) 581-4564 | |
| (253) 581-6484 |
| Full Name | Hanmi Medical Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 9115 S Tacoma Way Ste 105, Lakewood, Washington |
| Authorized Official Name and Position | Moo Keun Lee (DOCTOR) |
| Authorized Official Contact | 2535814564 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hanmi Medical Clinic Llc 9115 S Tacoma Way Ste 105 Lakewood WA 98499-4400 Ph: (253) 581-4564 | Hanmi Medical Clinic Llc 9115 S Tacoma Way Ste 105 Lakewood WA 98499-4400 Ph: (253) 581-4564 |
| NPI Number | 1114042447 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 06/24/2010 |
| Medicare PECOS PAC ID | 3274638713 |
|---|---|
| Medicare Enrollment ID | O20070412000097 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114042447 | NPI | - | NPPES |
| 1020536 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 22482 (Washington) | Primary |
| Provider Name | Moo K Lee |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1396765467 PECOS PAC ID: 3870594021 Enrollment ID: I20070131000049 |
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