Provider Demographics
NPI:1265426571
Name:LEKAN, CAROL CATHERINE (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:CATHERINE
Last Name:LEKAN
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:10931 RAVEN RIDGE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27614-6499
Mailing Address - Country:US
Mailing Address - Phone:919-787-1350
Mailing Address - Fax:919-510-5090
Practice Address - Street 1:10931 RAVEN RIDGE RD
Practice Address - Street 2:STE 101
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27614-6499
Practice Address - Country:US
Practice Address - Phone:919-870-6600
Practice Address - Fax:919-870-1610
Is Sole Proprietor?:No
Enumeration Date:2005-09-01
Last Update Date:2017-12-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC34380207NS0135X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207NS0135XAllopathic & Osteopathic PhysiciansDermatologyProcedural Dermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7951593Medicaid
E96722Medicare UPIN
NC7951593Medicaid