Individual
SOO YOUNG LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(501) 723-5474
Mailing address
10 MISSILE AVE, MINOT AFB, ND 58705-5003
(501) 723-5474
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
59448
CA
Other
Enumeration date
05/27/2020
Last updated
11/13/2025
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