Provider Demographics
NPI:1124070883
Name:LEE, ANDREW D (MD)
Entity type:Individual
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First Name:ANDREW
Middle Name:D
Last Name:LEE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2355 HIGHWAY 36 W
Mailing Address - Street 2:STE 100
Mailing Address - City:ROSEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55113-3905
Mailing Address - Country:US
Mailing Address - Phone:952-837-9700
Mailing Address - Fax:952-837-9701
Practice Address - Street 1:2355 HIGHWAY 36 W
Practice Address - Street 2:STE 100
Practice Address - City:ROSEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55113-3905
Practice Address - Country:US
Practice Address - Phone:952-837-9700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2021-07-19
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Provider Licenses
StateLicense IDTaxonomies
MN506812085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology