Individual provider · Type 1 NPI

Jackson Lee

Chiropractor · St. Paul, MN

NPI number 1689050684 Active

Practice location

919 Maryland Ave E Ste A
St. Paul, MN 55106-2618

Call (651) 900-3562 Map

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X6112 (MN)

Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

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About NPI 1689050684

Jackson Lee's National Provider Identifier is 1689050684, issued on Aug 3, 2015. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in St. Paul, MN. The record was last updated on May 20, 2026.