Individual provider · Type 1 NPI

Bethany Rose Lee, MA, LADC

Student in an Organized Health Care Education/Training Program · Plymouth, MN

NPI number 1629934898 Active

Practice location

11505 36th Ave N
Plymouth, MN 55441-2304

Call (763) 509-3838 Map

Mailing address

15330 18th Ave N Apt 907
Plymouth, MN 55447-2468

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1629934898

Bethany Rose Lee, MA, LADC's National Provider Identifier is 1629934898, issued on Dec 31, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Plymouth, MN. The record was last updated on Dec 31, 2025.