Lee, Justin Allen

Lee, Justin Allen is an individual health care provider with primary practice located at 3708 Mayfair St , Durham NC 27707-6226. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Lee, Justin Allen can be contacted via phone (984) 215-4780.

Contact Information

Primary practice address
3708 Mayfair St Durham NC 27707-6226
Phone: (984) 215-4780
Fax: (984) 215-4785
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2011-00685 North Carolina
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 2011-00685 North Carolina

Profile Details

NPI number 1285808741
LBN Legal business name Lee, Justin Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2008
Last updated Apr 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285808741 NPPES
North Carolina MEDICAID 5920939
North Carolina Other 172M6

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