Provider Demographics
NPI:1114924818
Name:LEE, JAMES DONALD (CRNA)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:DONALD
Last Name:LEE
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 HOLLAND RD
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-9631
Mailing Address - Country:US
Mailing Address - Phone:919-303-0339
Mailing Address - Fax:919-303-4793
Practice Address - Street 1:2700 HOLLAND RD
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-9631
Practice Address - Country:US
Practice Address - Phone:919-303-0339
Practice Address - Fax:919-303-4793
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC080979367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered