Provider Demographics
NPI:1568058808
Name:LEE, MEE (MEDICAL INTERPRETER)
Entity Type:Individual
Prefix:
First Name:MEE
Middle Name:
Last Name:LEE
Suffix:
Gender:F
Credentials:MEDICAL INTERPRETER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1310 HIGHWAY 96 E STE 204A
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-3619
Mailing Address - Country:US
Mailing Address - Phone:651-334-5427
Mailing Address - Fax:651-305-4086
Practice Address - Street 1:1310 HIGHWAY 96 E STE 204A
Practice Address - Street 2:
Practice Address - City:WHITE BEAR LAKE
Practice Address - State:MN
Practice Address - Zip Code:55110-3619
Practice Address - Country:US
Practice Address - Phone:651-334-5427
Practice Address - Fax:651-305-4086
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-20
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN86202171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171R00000XOther Service ProvidersInterpreterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN86202Medicaid