Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | 43287 | MN |
NPI | 1972510220 |
---|---|
Provider Name | Mee Lee Chun Nelson |
First Address | Edina, MN 55435-5660 |
Second Address | Burnsville, MN 55337-6732 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/08/2006 |
Last Update Date | 14/03/2012 |