Brooke, Cynthia Lee

Brooke, Cynthia Lee is an individual health care provider with primary practice located at 10510 Gravelly Lake Drive Community Health Care, Lakewood WA 98499. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Brooke, Cynthia Lee can be contacted via phone (253) 471-4553.

Contact Information

Primary practice address
10510 Gravelly Lake Drive Community Health Care Lakewood WA 98499
Phone: (253) 471-4553
Fax: (253) 474-5395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD26206 Oregon
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X MD00027007 Washington

Profile Details

NPI number 1033192984
LBN Legal business name Brooke, Cynthia Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Sep 9th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033192984 NPPES
Oregon MEDICAID 023287
Oregon MEDICAID 807312600

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