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LEE A ANTLES MD NPI 1811995525


NPI Information

NPI: 1811995525
Provider Name: LEE A ANTLES, MD
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Address:
9040 JACKSON AVENUE
TACOMA, WA
ZIP 98431
Phone: (253) 968-2462
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Lee A Antles, MD is an internal medicine in Tacoma, WA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Lee A Antles, MD NPI is 1811995525. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9040 JACKSON AVENUE
TACOMA, WA
ZIP 98431-151
Phone: (253) 968-2462

The enumeration date for this NPI number is 7/7/2005 and was last updated on 3/20/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineMD00025946WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10168090OTHERWASHINGTONLABOR & INDUSTRIES
2110245917OTHERRAILROAD MEDICARE UPIN
3GAB34522OTHERMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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