Individual
KACIA LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 PARK AVE, DEPT. OF INTERNAL MEDICINE, MINNEAPOLIS, MN 55415-1623
(612) 873-3000
Mailing address
701 PARK AVE, DEPT. OF INTERNAL MEDICINE, MINNEAPOLIS, MN 55415-1623
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
60072
MN
Other
Enumeration date
03/31/2014
Last updated
08/30/2017
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