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Individual
DR. LEE ROY COPELAND
Active
Individual
DR. LEE ROY COPELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
G32186
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G321860
BLUE CROSS/BLUE SHIELD
CA
05
—
00G321860
—
CA
01
—
110115369
RAILROAD MEDICARE
CA
01
—
77040368493612B008
CHAMPUS
CA
Enumeration date
11/08/2005
Last updated
04/24/2025
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