Lee, Jennifer

Lee, Jennifer is an individual health care provider with primary practice located at 3316 W 66Th St Ste 200, Edina MN 55435-2506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Lee, Jennifer can be contacted via phone (952) 920-3808.

Contact Information

Primary practice address
3316 W 66Th St Ste 200 Edina MN 55435-2506
Phone: (952) 920-3808
Fax: (952) 920-8899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 43535 Minnesota

Profile Details

NPI number 1902914351
LBN Legal business name Lee, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2006
Last updated Mar 18th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902914351 NPPES
Minnesota MEDICAID 717605800

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