Individual
LEE JOSEPH BAKEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, OWATONNA, MN 55060
(507) 451-1120
Mailing address
111 19TH ST NE, OWATONNA, MN 55060-1311
(515) 822-9568
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6397
MN
Other
Enumeration date
01/25/2019
Last updated
09/29/2020
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