Individual
PA YENG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 725-2000
Mailing address
7190 SILVER LAKE RD APT 206, SAINT PAUL, MN 55112-4442
(920) 254-4844
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6543
MN
363LG0600X
Gerontology Nurse Practitioner
6543
MN
363LP2300X
Primary Care Nurse Practitioner
6543
MN
Other
Enumeration date
08/30/2019
Last updated
08/30/2019
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