| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ALEXANDER MARCEL LEE | 1265104764 | 2024-11-10 |
Alexander Marcel Lee is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1265104764. Registration indicates Alexander Marcel Lee is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Alexander Marcel Lee |
| Practice Office Address | 11850 BLACKFOOT ST NW STE 490 COON RAPIDS, MN US |
| Practice Office Telephone | 7634271137 |
| Mailing Address | 11850 BLACKFOOT ST NW STE 490 COON RAPIDS, MN 554332773 US |
| Business Telephone | 6128717278 |
| Business Fax | 6128638531 |
| Direct Messaging Address [] | [email protected] | |
| Pending [] | Pending | Health Information Exchange (HIE) |
| Code | Practice | License No State |
|---|---|---|
| 363AS0400X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Surgical All Other Specialties & Provider Types Physician Assistant Surgical Technologist Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 13862
MN |
| 363A00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | 13862
MN |