| Doctor Name: | DR. CHUNG M LEE |
| NPI Number: | 1013992833 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 29120 |
| Business Practice Address: | 3800 Park Nicollet Blvd St Louis Park, MN - 554162527 |
| Business Phone Number: | 9529933212 |
| Business Fax Number: | |
| Mailing Address: | 6465 Wayzata Blvd, Ste 315 ST LOUIS PARK |
| State: | MN |
| Postal Code: | 554261728 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 12/14/2005 |
| NPI Last Update Date: | 01/04/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | 29120 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |