Individual
DR. JUSTIN ALLEN LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3708 MAYFAIR ST, DURHAM, NC 27707-6226
(984) 215-4780
(984) 215-4785
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
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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