Individual
KRISTEN LEE
Active
Individual
KRISTEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
2011-01790
NC
207R00000X
Internal Medicine Physician
45102
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0405620
MEDICA
—
01
—
067K5ST
BLUE CROSS MN FACILITY
MN
01
—
067K6ST
BLUE CROSS MN PRO FEE
MN
05
—
34374300
—
WI
05
—
560645400
—
MN
01
—
583781299
CHAMPUS TRICARE
—
01
—
HP38557
HEALTHPARTNERS
—
01
—
NA9031034591
PREFERREDONE
—
01
—
NC3973B
MEDICARE
NC
01
—
P00017814
RAILROAD
—
Enumeration date
09/02/2006
Last updated
09/25/2023
Update your record
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