MEDICARE: DR. LEE STOLL DUKES III D.MIN.

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	101YP1600X	Pastoral Counselor	4	NC

General Provider Information

NPI Number	:	1184750960
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEE STOLL DUKES III D.MIN.

Provider Business Mailing Address
First Line	:	1421 HATHERLEIGH CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-6941
Country	:	US
Telephone Number	:	336-470-9155
Fax Number	:

Provider Business Practice Location Address
First Line	:	1421 HATHERLEIGH CT
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-6941
Country	:	US
Telephone Number	:	336-470-9155
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	01/23/2026

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