Individual
CAROL M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501
(218) 847-5611
(218) 847-0881
Mailing address
1027 WASHINGTON AVE, DETROIT LAKES, MN 56501-3409
(218) 847-5611
(218) 847-0881
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 0373
MN
367500000X
Certified Registered Nurse Anesthetist
R 134622-6
MN
367500000X
Certified Registered Nurse Anesthetist
R20470
ND
Other
Enumeration date
07/18/2006
Last updated
09/04/2018
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