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NPI Code Detail

MEDICARE: DR. MINA S LEE MD

MEDICARE: DR. MINA S 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
1208800000XUrology Physician41954CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1020134OTHERCOKAISER COMMERCIAL NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659370773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MINA S LEE MD
Provider Business Mailing Address
First Line : 10350 E DAKOTA AVE
Second Line :
City : DENVER
State : CO
Zip : 80247-1314
Country : US
Telephone Number : 303-338-3382
Fax Number :
Provider Business Practice Location Address
First Line : 2045 N FRANKLIN ST
Second Line :
City : DENVER
State : CO
Zip : 80205-5437
Country : US
Telephone Number : 303-338-4545
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2005
Last Update Date : 07/21/2022

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Directions to “ DR. MINA S LEE MD” Practice Location

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