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Individual
CHUNG K LEE
Active
Individual
CHUNG K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
71675
WI
2085R0203X
Therapeutic Radiology Physician
Primary
21846
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091512
FAIRVIEW
MN
01
—
2T424LE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/15/2006
Last updated
11/17/2022
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