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Ian C Lee, MD
Student in an Organized Health Care Education/Training Program in Durham, North Carolina
NPI 1740578483

Ian C Lee is a Student in an Organized Health Care Education/Training Program based in Charlotte, NC. Ian C Lee practices in Durham, NC and has the professional credentials of MD. The NPI Number for Ian C Lee is 1740578483 and holds a License No. 2015-00538 (North Carolina).

The current practice location address for Ian C Lee is 234 Crooked Creek Pkwy Ste 420, Durham, NC and can be reached out via phone at 919-668-7600 and via fax at 919-385-7536.

Location: 234 Crooked Creek Pkwy Ste 420, Durham, NC, 28275-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740578483
Provider Name
Ian C Lee
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
234 Crooked Creek Pkwy Ste 420, Durham, NC, 28275-1069
Phone Number
919-668-7600
Fax Number
919-385-7536
Provider Enumeration Date
07/15/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
19LT8 01 NC BCBS OF NC
1740578483 05 NC
institution
Provider Business Practice Location Address Details
Address
234 Crooked Creek Pkwy Ste 420
City
Durham
State
North Carolina
Zip
27713
Phone Number
919-668-7600
Fax Number
919-385-7536
person
Provider Business Mailing Address Details
Address
234 Crooked Creek Pkwy Ste 420
City
Durham
State
North Carolina
Zip
27713
Phone Number
919-668-7600
Fax Number
919-385-7536
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
MD458395 (Pennsylvania)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2015-00538 (North Carolina)
Definition
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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