Lee, Ian C

Lee, Ian C is an sole proprietor health care provider with primary practice located at 234 Crooked Creek Pkwy Ste 420 , Durham NC 27713. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Lee, Ian C can be contacted via phone (919) 668-7600.

Contact Information

Primary practice address
234 Crooked Creek Pkwy Ste 420 Durham NC 27713
Phone: (919) 668-7600
Fax: (919) 385-7536
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 2015-00538 North Carolina
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD458395 Pennsylvania
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 266638 New York
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X MT199936 Pennsylvania

Profile Details

NPI number 1740578483
LBN Legal business name Lee, Ian C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2011
Last updated Jul 25th, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740578483 NPPES
North Carolina Other 19LT8 BCBS OF NC
North Carolina MEDICAID 1740578483 BCBS OF NC

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