Provider Demographics
NPI:1467480756
Name:LEE, CHRISTINE E (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:E
Last Name:LEE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6104 FAYETTEVILLE RD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-6283
Mailing Address - Country:US
Mailing Address - Phone:919-572-0050
Mailing Address - Fax:919-572-9200
Practice Address - Street 1:6104 FAYETTEVILLE RD
Practice Address - Street 2:SUITE 108
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6283
Practice Address - Country:US
Practice Address - Phone:919-572-0050
Practice Address - Fax:919-572-9200
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2014-02-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9400890207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8910155Medicaid
NC8910155Medicaid
NC2234119BMedicare PIN
NCF79151Medicare UPIN