Provider Demographics
NPI:1629170873
Name:HARDIN-LEE, LAURA KAY (MD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:KAY
Last Name:HARDIN-LEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10211 ALM ST STE 1200
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-8221
Mailing Address - Country:US
Mailing Address - Phone:919-206-4889
Mailing Address - Fax:919-206-4875
Practice Address - Street 1:10211 ALM ST STE 1200
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8221
Practice Address - Country:US
Practice Address - Phone:919-206-4889
Practice Address - Fax:919-206-4875
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2023-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9700070207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
1123VOtherBCBS
D7732OtherMEDCOST
1975956OtherUNITED
2247254FOtherMEDICARE-CIGNA
3131308OtherCIGNA
P00310515OtherMEDICARE-RAILROAD
3131308OtherCIGNA