Provider Demographics
NPI:1154018844
Name:LEE, STEPHANIE ALBRECHT (PHYSICIAN ASSISTANT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:ALBRECHT
Last Name:LEE
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:CHRISTINE
Other - Last Name:ALBRECHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5700 BOTTINEAU BLVD STE 100
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL
Mailing Address - State:MN
Mailing Address - Zip Code:55429-3184
Mailing Address - Country:US
Mailing Address - Phone:763-504-6500
Mailing Address - Fax:
Practice Address - Street 1:5700 BOTTINEAU BLVD STE 100
Practice Address - Street 2:
Practice Address - City:CRYSTAL
Practice Address - State:MN
Practice Address - Zip Code:55429-3184
Practice Address - Country:US
Practice Address - Phone:763-504-6500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-21
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical