Individual
NECELLE LYVETTE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 PARK NICOLLET BLVD, ST LOUIS PARK, MN 55416-2527
(952) 993-3512
Mailing address
8170 33RD AVE S # MS 21110Q, BLOOMINGTON, MN 55425-4516
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11167
MN
363LF0000X
Family Nurse Practitioner
11167
MN
Other
Enumeration date
03/19/2024
Last updated
05/10/2024
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