Provider Demographics
NPI:1386838126
Name:LARCADE, LEE ALAN (MD)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:ALAN
Last Name:LARCADE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3717 NATIONAL DR STE 150
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27612-4868
Mailing Address - Country:US
Mailing Address - Phone:919-787-9444
Mailing Address - Fax:919-787-9442
Practice Address - Street 1:3717 NATIONAL DR STE 150
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27612-4868
Practice Address - Country:US
Practice Address - Phone:919-787-9444
Practice Address - Fax:919-787-9442
Is Sole Proprietor?:No
Enumeration Date:2007-09-05
Last Update Date:2021-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC409862084P0800X
NC332682084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1386838126OtherPSYCHIATRY