Dr. Lee Johanna Edwards, DDS
Dentist in Lacey, WA. Individual provider (NPI-1).
NPI number1831477520
StatusActive
Last updated in NPPESMar 1, 2012
Details
- NPI
- 1831477520
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lee Johanna Edwards
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2011
- Last updated
- Mar 1, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DE60234008 | WA | Yes |
Practice location
1450 Northwest Ln SeSuite C
Lacey, WA 98503-6908
Phone 360-491-4343
Mailing address
1450 Northwest Ln SeSuite C
Lacey, WA 98503-6908
Phone 360-491-4343
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