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Individual

DR. LEE SMITH CARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
22975
SC
207NP0225X
Pediatric Dermatology Physician
22975
SC
207R00000X
Internal Medicine Physician
22975
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8616
MEDICARE GROUP PIN FOR NE DERMATOLOGY
SC
05
T70900
SC
Enumeration date
03/08/2006
Last updated
10/10/2025
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