Individual
CHUNG K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
RADIATION ONCOLOGY CLINIC, 500 HARVARD STREET SE, MINNEAPOLIS, MN 55455
(612) 273-6700
Mailing address
420 DELAWARE STREET SE, MMC 292, UNIVERSITY OF MINNESOTA PHYSICIANS, MINNEAPOLIS, MN 55455
(612) 273-6700
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
71675
WI
2085R0203X
Therapeutic Radiology Physician
Primary
21846
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
091512
FAIRVIEW
MN
01
—
2T424LE
BLUE CROSS BLUE SHIELD
MN
Enumeration date
09/15/2006
Last updated
11/17/2022
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