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NPI Code Detail

MEDICARE: CHAO LEE

MEDICARE:   CHAO  LEE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13747P1801XPersonal Care AttendantMN

General Provider Information

NPI Number : 1063634764
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAO LEE
Provider Business Mailing Address
First Line : 432 NEVADA AVE E
Second Line :
City : SAINT PAUL
State : MN
Zip : 55101-3230
Country : US
Telephone Number : 651-487-1578
Fax Number :
Provider Business Practice Location Address
First Line : 432 NEVADA AVE E
Second Line :
City : SAINT PAUL
State : MN
Zip : 55101-3230
Country : US
Telephone Number : 651-487-1578
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2007
Last Update Date : 07/08/2007

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Directions to “ CHAO LEE ” Practice Location

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