Individual
DR. MARK C LEE
Active
Individual
DR. MARK C LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41973
MN
207R00000X
Internal Medicine Physician
Primary
MED-PHYS-LIC-55424
MT
207R00000X
Internal Medicine Physician
MN2014-0783
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
798325500
—
MN
Enumeration date
01/03/2006
Last updated
07/02/2017
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