Provider Demographics
NPI:1083806988
Name:LEE, CAROL KALUEN (MD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:KALUEN
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6030 1 UNIVERSITY OF NEW MEXICO
Mailing Address - Street 2:MSC 11
Mailing Address - City:ALBUQUEQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87131-0001
Mailing Address - Country:US
Mailing Address - Phone:505-272-4422
Mailing Address - Fax:505-272-0727
Practice Address - Street 1:6030 1 UNIVERSITY OF NEW MEXICO
Practice Address - Street 2:MSC 11
Practice Address - City:ALBUQUEQUE
Practice Address - State:NM
Practice Address - Zip Code:87131-0001
Practice Address - Country:US
Practice Address - Phone:505-272-4422
Practice Address - Fax:505-272-0727
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology