Lee, Justin Allen
Lee, Justin Allen is an individual health care provider with primary practice located at 3708 Mayfair St , Durham NC 27707-6226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Lee, Justin Allen can be contacted via phone (984) 215-4780.Contact Information
Primary practice address
3708 Mayfair St
Durham NC 27707-6226
Phone: (984) 215-4780
Fax: (984) 215-4785
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2011-00685 | North Carolina |
| Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 2011-00685 | North Carolina |
Profile Details
| NPI number | 1285808741 |
|---|---|
| LBN Legal business name | Lee, Justin Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2008 |
| Last updated | Apr 1st, 2021 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285808741 | NPPES |
| North Carolina | MEDICAID | 5920939 | |
| North Carolina | Other | 172M6 |
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