Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Christina Lee Boull, MD

Individual provider Dermatology Physician · NPI 1225222862

Christina Lee Boull, MD is a Pediatric Medicine in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2007, 19 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
19
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 365-6777
Fax: (612) 365-4370
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 715 S 8th St, Minneapolis, MN 55404-1210 — (612) 873-6963

Specialties & licences

Pediatric Dermatology Physician (primary) Taxonomy 207NP0225X · Licence 52943 (MN)
Dermatology Physician Taxonomy 207N00000X · Licence 52943 (MN)

Record details

NPI number1225222862
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 28, 2007
Last updated in NPPESNovember 27, 2023
Certification dateNovember 21, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2007 (19 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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