MEDICARE: NU CHI 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
1	1744R1103X	Research Study Abstracter/Coder	262989499	MN

General Provider Information

NPI Number	:	1598920852
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NU CHI LEE

Provider Business Mailing Address
First Line	:	6671 HIGHLAND HILLS LN S
Second Line	:
City	:	COTTAGE GROVE
State	:	MN
Zip	:	55016-4481
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6671 HIGHLAND HILLS LN S
Second Line	:
City	:	COTTAGE GROVE
State	:	MN
Zip	:	55016-4481
Country	:	US
Telephone Number	:	651-207-5719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2008
Last Update Date	:	07/25/2008

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