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NPI Code Detail

MEDICARE: MS. ALICIA YVETTE LEE

MEDICARE: MS. ALICIA YVETTE LEE
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
1172A00000XDriver000021196160NC

General Provider Information

NPI Number : 1609735018
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ALICIA YVETTE LEE
Provider Business Mailing Address
First Line : 2925 POLO DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28306-8374
Country : US
Telephone Number : 910-336-7465
Fax Number :
Provider Business Practice Location Address
First Line : 2300 RAMSEY ST
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28301-3856
Country : US
Telephone Number : 910-488-2120
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2026
Last Update Date : 01/20/2026

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Directions to “ MS. ALICIA YVETTE LEE ” Practice Location

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