Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JOHNNIE LEGRANT LEE
Active Sole ProprietorMR. JOHNNIE LEGRANT LEE is a Assisted Living Facility healthcare provider located in MINNEAPOLIS, Minnesota. NPI 1104174085 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · MINNEAPOLIS, MN
Registration Details
- NPI Number
- 1104174085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 26, 2012 (13.989936924049 yrs)
- Last Updated
- Aug 26, 2012
- License
-
270227392 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4347 4TH AVE SMINNEAPOLIS, MN, 554092115Browse MN providers · Browse ZIP 55409
- Phone
- 6128233880
- Primary Specialty
-
Assisted Living Facility
311ZA0620X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.