Individual
WALTER T LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 TRENT DR, DURHAM, NC 27710-0001
(919) 684-8111
Mailing address
4101 N ROXBORO ST, DURHAM, NC 27704-2121
(919) 684-8111
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35082667
OH
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
2008-00658
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2565942
—
OH
05
—
5909225
—
NC
Enumeration date
04/14/2006
Last updated
06/25/2008
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