Individual
LEE MOUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
446 UNIVERSITY AVE W STE 101, SAINT PAUL, MN 55103-1983
(651) 224-3131
(651) 224-3132
Mailing address
446 UNIVERSITY AVE W STE 101, SAINT PAUL, MN 55103-1983
(651) 224-3131
(651) 224-3132
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
4603
MN
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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