MEDICARE: FRANK B LEE MD

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	207P00000X	Emergency Medicine Physician	51395	MN
2	207P00000X	Emergency Medicine Physician	Q3723	TX
3	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	49779	WI
4	207Q00000X	Family Medicine Physician	Q3723	TX

General Provider Information

NPI Number	:	1639133374
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANK B LEE MD

Provider Business Mailing Address
First Line	:	10195 BRIDGEWATER CIR
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55129-8598
Country	:	US
Telephone Number	:	651-964-9042
Fax Number	:

Provider Business Practice Location Address
First Line	:	10195 BRIDGEWATER CIR
Second Line	:
City	:	SAINT PAUL
State	:	MN
Zip	:	55129-8598
Country	:	US
Telephone Number	:	651-964-9042
Fax Number	:

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

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	05/20/2025

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