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Individual
DR. JUSTIN ALLEN LEE
Active
Individual
DR. JUSTIN ALLEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2011-00685
NC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
2011-00685
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
172M6
BCBS
NC
05
—
5920939
—
NC
Enumeration date
04/16/2008
Last updated
04/01/2021
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