Individual
SHAO CHYI LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-1365
Mailing address
600 W 98TH ST, BLOOMINGTON, MN 55420-4773
(952) 881-2651
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
51171
MN
207Q00000X
Family Medicine Physician
9713
ND
Other
Enumeration date
07/17/2006
Last updated
11/02/2022
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