SONG LEE FNP-C
NPI 1871969147
Nurse Practitioner - Family in Blaine, MN

Active since August 20, 2015
2357 108TH LN NE, BLAINE, MN 55449(866) 389-2727 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 9, 2021, Apr 12, 2020, Jul 1, 2016 (3 updates tracked since 2016).

About Song Lee Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SONG LEE FNP-C (NPI 1871969147) is an individual family provider in Blaine, Minnesota, licensed in Minnesota (8018) and active in the NPI registry since August 2015. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1871969147
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSONG LEECredential: FNP-C
Location Address2357 108TH LN NEBlaine, MN 55449-5222
Mailing Address2357 108th Ln NeBlaine, MN 55449-5222 · (866) 389-2727
Sole ProprietorNo
Enumeration DateAugust 20, 2015
Last NPPES UpdateMarch 9, 20213 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
NPI 1871969147 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in MN · 8018 Licensed in TN · 21056 Licensed in MO · 2015029823
2357 108TH LN NE, Blaine, MN 55449

Secondary Practice Locations 2

Location 16670 Stage RdBartlett, TN 38134-3810 · Phone (866) 389-2727
Location 22115 Union AveMemphis, TN 38104-4233 · Phone (866) 389-2727

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2357 108TH LN NE
BLAINE, MN 55449
Pharmacy
2357 108TH LN NE
BLAINE, MN 55449
Pharmacist
2357 108TH LN NE
BLAINE, MN 55449
Pharmacist
2357 108TH LN NE
BLAINE, MN 55449
Nurse Practitioner (Family)
2357 108TH LN NE
BLAINE, MN 55449
Nurse Practitioner
2357 108TH LN NE
BLAINE, MN 55449
Nurse Practitioner (Family)
2357 108TH LN NE, MN002
BLAINE, MN 55449
Nurse Practitioner (Family)
2357 108TH LN NE
BLAINE, MN 55449

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Song Lee's NPI number?

The NPI number for Song Lee is 1871969147. It was assigned to this individual provider in the NPPES registry on August 20, 2015.

Where is Song Lee located?

Song Lee practices at 2357 108th Ln NE, Blaine, MN 55449. The listed phone number is (866) 389-2727.

What is Song Lee's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Song Lee was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.