Healthcare Provider Details

I. General information

NPI: 1548434921
Provider Name (Legal Business Name): LEJLA VAJZOVIC M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LEJLA MUTAPCIC

II. Dates (important events)

Enumeration Date: 04/17/2008
Last Update Date: 07/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 ERWIN RD
DURHAM NC
27705-3941
US

IV. Provider business mailing address

5213 S ALSTON AVE
DURHAM NC
27713-4430
US

V. Phone/Fax

Practice location:
  • Phone: 919-684-8111
  • Fax:
Mailing address:
  • Phone: 919-684-8111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number2011-00690
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: