Individual
SAMUEL MARTIN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6401 FRANCE AVE S, EDINA, MN 55435-2104
(952) 924-5000
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 273-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2457623
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2784
MN
Other
Enumeration date
10/04/2022
Last updated
02/20/2023
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