Individual provider Active NPI

Lawrence H. Lee, M.D.

  • Internal Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1053384784
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
37174 Issued in MN
Practice address
17 Exchange St W Ste 500
Saint Paul, MN 55102-1224
Phone
(651) 232-4200
NPI assigned
Feb 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 37174 MN Primary

Addresses

Primary practice location

17 Exchange St W Ste 500
Saint Paul, MN 55102-1224

Mailing address

8170 33Rd Ave S
Ms21110Q
Minneapolis, MN 55425-4516
Phone (952) 883-5375

Other practice location 1

15290 Pennock Ln - Mail Stop 32200A
Health Partners Apple Valley Clinic
Apple Valley, MN 55124-7163
Phone (952) 431-8500

Other identifiers 1

IdentifierTypeStateIssuer
040522100MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081110000844 MN Practitioner - Internal Medicine 2668531351 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

17 Exchange W St
Suite 200
Saint Paul, MN 55102-1222
Phone (651) 326-3600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Clinics CurrentSince Mar 1, 2020 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 10, 2019 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince Mar 1, 2020 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince May 10, 2019 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Healtheast Medical Research Institute Past Accepting new patients
Group Health, Inc. Past Accepting new patients

Locations

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

3033 Excelsior Blvd
Ste 275
Minneapolis, MN 55416
Phone (612) 827-4751

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

2945 Hazelwood St
Ste 100
Saint Paul, MN 55109
Phone (651) 232-7800

17 Exchange St W
Ste 200
Saint Paul, MN 55102
Phone (651) 227-8275

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

69 Exchange St W
Saint Paul, MN 55102
Phone (651) 232-1100

1700 University Ave W
Fl 1
Saint Paul, MN 55104
Phone (651) 232-2002

17 Exchange St W
Ste 500
Saint Paul, MN 55102
Phone (651) 232-4200

17 Exchange St W
Ste 835
Saint Paul, MN 55102
Phone (651) 232-4200

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

1875 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

1825 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-6700

Interoperability endpoints

  • Direct secure messaging: llee629774@fairview.direct-ci.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1053384784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S",
            "address_2": "MS21110Q",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "952-883-5375",
            "fax_number": "952-431-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 EXCHANGE ST W STE 500",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551021224",
            "telephone_number": "651-232-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15290 Pennock Ln - Mail Stop 32200A",
            "address_2": "Health Partners Apple Valley Clinic",
            "address_purpose": "LOCATION",
            "city": "Apple Valley",
            "state": "MN",
            "postal_code": "551247163",
            "country_code": "US",
            "telephone_number": "952-431-8500",
            "fax_number": "952-431-6966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "LAWRENCE",
        "middle_name": "H.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "37174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040522100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.