MEDICARE: LAURA KAY HARDIN-LEE MD

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	207Q00000X	Family Medicine Physician	9700070	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	2247254F	OTHER		MEDICARE-CIGNA
6	P00310515	OTHER		MEDICARE-RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	1123V	OTHER	BCBS
2	D7732	OTHER	MEDCOST
3	1975956	OTHER	UNITED
5	3131308	OTHER	CIGNA

General Provider Information

NPI Number	:	1629170873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAURA KAY HARDIN-LEE MD

Provider Business Mailing Address
First Line	:	10211 ALM ST STE 1200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-8221
Country	:	US
Telephone Number	:	919-206-4889
Fax Number	:	919-206-4875

Provider Business Practice Location Address
First Line	:	10211 ALM ST STE 1200
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-8221
Country	:	US
Telephone Number	:	919-206-4889
Fax Number	:	919-206-4875

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

Provider Enumeration Date	:	09/01/2006
Last Update Date	:	05/27/2023

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Directions to “ LAURA KAY HARDIN-LEE MD” Practice Location

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