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Individual

MR. JOSEPH YIU CHO LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.A.L.P.

Contact information

Practice address
1885 UNIVERSITY AVE W, IRISH PARK PLACE SUITE 25, SAINT PAUL, MN 55104-3489
(612) 203-1207
(952) 736-2684
Mailing address
5 WOODLAND DR, BURNSVILLE, MN 55337-2707
(612) 203-1207
(952) 736-2684

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
LP1967
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
56766LE
BLUE CROSS BLUE SHIELD MN
MN
01
62-22021
MEDICA
MN
01
A75997205244
PREFERREDONE
MN
01
HP27354
HEALTH PARTNERS
MN
Enumeration date
12/14/2005
Last updated
11/09/2007
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