Individual
PHILIP CHEUNG LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
125 QUEENS RD STE 200, CHARLOTTE, NC 28204-3578
(704) 343-9800
(704) 347-2011
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 343-9800
(704) 347-2011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2023-01942
NC
207RC0000X
Cardiovascular Disease Physician
01069151A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
2023-01942
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000700130
ANTHEM BCBS
IN
05
—
201009380
—
IN
Enumeration date
01/28/2008
Last updated
11/17/2023
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