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NPI Code Detail

MEDICARE: JOSEPH SEONG LEE D.C.

MEDICARE:   JOSEPH SEONG LEE  D.C.
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
1111N00000XChiropractor4601MN

General Provider Information

NPI Number : 1801938147
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH SEONG LEE D.C.
Provider Business Mailing Address
First Line : 8058 BROOKLYN BLVD
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55445-2407
Country : US
Telephone Number : 763-425-1855
Fax Number : 763-425-1861
Provider Business Practice Location Address
First Line : 8058 BROOKLYN BLVD
Second Line :
City : BROOKLYN PARK
State : MN
Zip : 55445-2407
Country : US
Telephone Number : 763-425-1855
Fax Number : 763-425-1861
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2007
Last Update Date : 07/08/2007

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Directions to “ JOSEPH SEONG LEE D.C.” Practice Location

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