Roberson, Lee Douglass

Roberson, Lee Douglass is an individual health care provider with primary practice located at 833 Princeton Ave Sw #200A, Birmingham AL 35211. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Roberson, Lee Douglass can be contacted via phone (205) 786-2776.

Contact Information

Primary practice address
833 Princeton Ave Sw #200A Birmingham AL 35211
Phone: (205) 786-2776
Fax: (205) 786-6227
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 51905 Kentucky
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 00019855 Alabama

Profile Details

NPI number 1790750065
LBN Legal business name Roberson, Lee Douglass
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Feb 7th, 2019 - about 5 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 1790750065 NPPES
Alabama MEDICAID 009960240

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