Individual
KOUA LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1598 PACIFIC ST, SAINT PAUL, MN 55106-6618
(651) 208-1184
Mailing address
1598 PACIFIC ST, SAINT PAUL, MN 55106-6618
(651) 208-1184
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
370153
MN
Other
Enumeration date
12/07/2007
Last updated
12/07/2007
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