MEDICARE: SEAN HYUNG-KWON 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	2085R0202X	Diagnostic Radiology Physician	14536-320	WI
2	2085P0229X	Pediatric Radiology Physician	81237	MN
3	2085R0202X	Diagnostic Radiology Physician	23231	ND
4	2085R0202X	Diagnostic Radiology Physician	81237	MN

General Provider Information

NPI Number	:	1720547540
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEAN HYUNG-KWON LEE MD

Provider Business Mailing Address
First Line	:	2355 HWY 36 W
Second Line	:	STE 100
City	:	ROSEVILLE
State	:	MN
Zip	:	55113
Country	:	US
Telephone Number	:	651-292-2000
Fax Number	:

Provider Business Practice Location Address
First Line	:	2355 HWY 36 W
Second Line	:	STE 100
City	:	ROSEVILLE
State	:	MN
Zip	:	55113
Country	:	US
Telephone Number	:	651-292-2000
Fax Number	:

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

Provider Enumeration Date	:	03/19/2019
Last Update Date	:	06/26/2026

Similar Medicare Providers

1053247353 — PRECIOUS HOME CARE INC
Practice Location Address:

2393 RICE ST STE 111
ROSEVILLE, MN
55113-3715

Practice Phone: 763-657-0604
Practice Fax: 763-657-0601

1457910283 — JUSTIN SCOT CASKEY MD
Practice Location Address:

2355 HWY 36 W , STE 100
ROSEVILLE, MN
55113

Practice Phone: 651-292-2000
Practice Fax:

1134355662 — DR. MARK J. ALLEN M.D.
Practice Location Address:

2355 HWY 36 W , STE. 100
ROSEVILLE, MN
55113

Practice Phone: 651-292-2000
Practice Fax:

1881057883 — DR. CHRISTOPHER JAMES KNOEDLER JR. MD
Practice Location Address:

2355 HIGHWAY 36 W
ROSEVILLE, MN
55113-3902

Practice Phone: 612-292-2000
Practice Fax:

1992910525 — JENNIFER LEE PINION LMFT
Practice Location Address:

1970 OAKCREST AVE STE 200
ROSEVILLE, MN
55113-2624

Practice Phone: 651-955-4633
Practice Fax: 651-440-9827

1265030134 — MR. ANTON DANTE EVANS LMFT
Practice Location Address:

1970 OAKCREST AVE STE 200
ROSEVILLE, MN
55113-2624

Practice Phone: 651-955-4633
Practice Fax: 651-440-9827

Directions to “ SEAN HYUNG-KWON LEE MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.