IndividualActive
Alexander Lee
NPI 1265104764 · Surgical Physician Assistant · Coon Rapids, MN
Provider details
- NPI number
- 1265104764
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 13862 (MN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
11850 Blackfoot St Nw Ste 490
Coon Rapids, MN 55433-2773
Phone: (763) 427-1137
Approximate (ZIP-level) locationGet directions
Mailing address
11850 Blackfoot St Nw Ste 490
Coon Rapids, MN 55433-2773
Registry dates
- Enumerated
- 2021-10-02
- Last updated
- 2024-11-10
- Certified
- 2024-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.