Individual
LEE KASIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3625 N ELM ST, SUITE 110A, GREENSBORO, NC 27455-2604
(336) 282-4840
(336) 282-4660
Mailing address
3625 N ELM ST, SUITE 110A, GREENSBORO, NC 27455-2604
(336) 282-4840
(336) 282-4660
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25336
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
47826
BCBS
NC
05
—
5714621
—
VA
05
—
8947826
—
NC
Enumeration date
05/11/2006
Last updated
04/01/2010
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