MEDICARE: UNC PHYSICIANS GROUP PRACTICES II, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician

General Provider Information

NPI Number	:	1235716325
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNC PHYSICIANS GROUP PRACTICES II, LLC

Provider Business Mailing Address
First Line	:	5221 PARAMOUNT PKWY STE 220
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-5490
Country	:	US
Telephone Number	:	984-215-4111
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 LATTNER CT STE 300
Second Line	:
City	:	MORRISVILLE
State	:	NC
Zip	:	27560-9584
Country	:	US
Telephone Number	:	919-238-2450
Fax Number	:	919-232-5043

Authorized Official
Title or Position	:	AUTHORIZED OFFICIAL
Name	:	LYNNE CHRISTINE FISCUS
Credential	:
Telephone Number	:	984-215-4111

Provider Enumeration Date	:	03/25/2021
Last Update Date	:	01/16/2025

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