Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LEE MASON BOURDEAU, MD
ActiveDR. LEE MASON BOURDEAU, MD is a Family Medicine healthcare provider located in TACOMA, Washington. NPI 1467483628 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · TACOMA, WA
Registration Details
- NPI Number
- 1467483628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2006 (20.10231473006 yrs)
- Last Updated
- Apr 4, 2014
- Licenses
-
MD00013784 (WA)MD00013784 (WA)
Practice Information
- Address
-
7440 PACIFIC AVETACOMA, WA, 984087117Browse WA providers · Browse ZIP 98408
- Phone
- 2534750511
- Fax
- 2534757440
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in TACOMA, WA
| Name | Credential | NPI |
|---|---|---|
| MARSE L MCNAUGHTON | MD | 1073519492 |
| HOLLI BANISTER | M.D. | 1770589061 |
| DR. THUY-TIEN V LE | DO | 1023015641 |
| DR. MUHAMMAD AYUB | MD | 1386641694 |
| XIN WANG | MD | 1689671893 |
| LOREN B BETTERIDGE | MD | 1023015211 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.