Individual
JOSHUA NAOTOU LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15565 XKIMO CT NW, RAMSEY, MN 55303-5718
(612) 791-8527
Mailing address
2060 CENTRE POINTE BLVD STE 3, SAINT PAUL, MN 55120-1271
(651) 774-0011
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A150632100
UNIQUE MINNESOTA PROVIDER ID
MN
Enumeration date
03/07/2018
Last updated
03/07/2018
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