Individual
LEE RUSSELL ROCAMORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S. COLLEGE ST., SUITE 500, CHARLOTTE, NC 28202
(704) 302-8800
(704) 632-4001
Mailing address
PO BOX 60063, CHARLOTTE, NC 28260-0063
(704) 302-8800
(704) 632-4001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21861
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7972773
—
NC
05
—
NC1489
—
SC
Enumeration date
08/17/2007
Last updated
02/01/2012
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