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Individual

LEE YANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1421 N 10TH AVE, VIRGINIA, MN 55792-2240
(218) 290-5997
Mailing address
PO BOX 589, VIRGINIA, MN 55792-0589
(218) 290-5997

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
04-35291
KS
208600000X
Surgery Physician
189116
NY
208600000X
Surgery Physician
Primary
37572
MN
208600000X
Surgery Physician
G78231
CA
208600000X
Surgery Physician
MD2014-0794
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
830518800
MN
Enumeration date
07/07/2006
Last updated
10/30/2014
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