Christina Lee Boull in Minneapolis - Pediatric Dermatology

Christina Lee Boull - NPI 1225222862

Christina Lee Boull is a Pediatric Dermatology in Minneapolis, Minnesota. Christina Lee Boull practices all healthcare services and medical treatments related to Pediatric Dermatology. The NPI Number for Christina Lee Boull is 1225222862. The last update date is 2023-11-27.

Christina Lee Boull's current location address is 720 Washington Ave Se, Minneapolis, Minnesota. You can contact this provider via phone number 6518840749. The mailing address for Christina Lee Boull is 720 Washington Ave Se, Minneapolis, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Christina Lee Boull
Address 720 Washington Ave Se, Minneapolis, Minnesota
Phone Number 6518840749
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1225222862
Provider Enumeration Date 2007-08-28
Last Updated Date 2023-11-27

Provider Mailing Address Detail

Address 720 Washington Ave Se
City Minneapolis
State Minnesota (MN)
Post Code 554142924
Phone Number 6518840749
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dermatology
Taxonomy 207Np0225X
Licence No 52943
Definition:
A pediatric dermatologist has, through additional special training, developed expertise in the treatment of specific skin disease categories with emphasis on those diseases which predominate in infants, children and adolescents.

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FAQs about Christina Lee Boull

What is the Christina Lee Boull's unique identification number?

The Christina Lee Boull has been assigned the NPI (National Provider Identifier) Number 1225222862 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you kindly provide the complete physical address where Christina Lee Boull's facilities are geographically located?

The facilities of Christina Lee Boull are physically situated at the following location: 720 Washington Ave Se, Minneapolis, MN, 554142924.

What is Christina Lee Boull's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Christina Lee Boull is Pediatric Dermatology, and the taxonomy code that classifies this field of practice is 207Np0225X.

On what date did the Christina Lee Boull receive its 1225222862 assignment from the Centers for Medicare & Medicaid Services?

The Christina Lee Boull was assigned its 1225222862 by the Centers for Medicare & Medicaid Services on 2007-08-28.

As of what date were the details related to Christina Lee Boull most recently updated or revised?

The information pertaining to Christina Lee Boull, including its address, specialty, and other relevant details, was last updated or revised on 2023-11-27.

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