Individual
DR. BRIELLE EGILSON LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
20772 HOLYOKE AVE, LAKEVILLE, MN 55044-9824
(952) 232-1935
Mailing address
PO BOX 68, LAKEVILLE, MN 55044-0068
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6650
MN
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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