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General NPI Number Information
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NPI Number | 1619975356
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Entity Type | Individual
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Provider Name | JULIA LYNN LEE MD
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/13/2020
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Provider Practice Location Address
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Address Line | 252 7TH AVE APT. 7L
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City | NEW YORK
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State | NY
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Zip | 10001-7326
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Country | US
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Telephone | 952-595-1242
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Fax | 952-935-2757
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Provider Business Mailing Address
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Address Line | 11995 SINGLETREE LN SUITE 500
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City | EDEN PRAIRIE
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State | MN
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Zip | 55344-5347
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Country | US
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Telephone | 952-595-1242
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Fax | 952-935-2757
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 220366
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License Number State | NY
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