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DAVID T. LEE MD INTERNAL MEDICINE LLC

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Company Details

Legal Name: DAVID T. LEE MD INTERNAL MEDICINE LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: February 14th 2011
Date of Dissolution: July 3rd 2023
Expiration date: 28 Feb 2023
UBI Number: 603 087 388
ZIP code: 98607
City: Camas
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1055 NW AUTUMN CT, CAMAS, WA, 98607-8726, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $4,710

Contact Details

E-Mail: TAMMYHAUNGLEE@GMAIL.COM
Phone Number: +1 360-241-4424

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
THOMAS JACKSON Registered Agent 416 NE 144TH AVE, VANCOUVER, WA, 98684-0000, UNITED STATES

Key Officers & Management

Name Role Address
DAVID LEE Governing Person 4610 SE AUTUMN CT, CAMAS, WA, 98607, UNITED STATES
TAMMY LEE Governing Person 4610 SE AUTUMN CT, CAMAS, WA, 98607, UNITED STATES

National Provider Identifier

NPI Number:
1164729398

Authorized Person:

Name:
DR. DAVID TECHANG LEE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3608341994
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