Individual
CAROL S. LEE-FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1920 E BASELINE RD, CJ HARRIS CENTER / CIGNA MEDICAL GROUP/ OPHTHALMOLOGY, TEMPE, AZ 85283-1511
(480) 345-5164
(480) 345-5386
Mailing address
1920 E BASELINE RD, CJ HARRIS CENTER / CIGNA MEDICAL GROUP/ OPHTHALMOLOGY, TEMPE, AZ 85283-1511
(480) 345-5164
(480) 345-5386
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
37769
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282487
—
AZ
01
—
Z124134
MEDICARE
AZ
Enumeration date
03/14/2006
Last updated
01/13/2011
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