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NPI Code Detail

MEDICARE: STEPHANIE LEE

MEDICARE: STEPHANIE 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
1183500000XPharmacist23698NC

General Provider Information

NPI Number : 1932530417
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEPHANIE LEE
Provider Business Mailing Address
First Line : 906 BINGHAM DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-2842
Country : US
Telephone Number : 910-487-5359
Fax Number : 910-487-6274
Provider Business Practice Location Address
First Line : 906 BINGHAM DR
Second Line :
City : FAYETTEVILLE
State : NC
Zip : 28304-2842
Country : US
Telephone Number : 910-487-5359
Fax Number : 910-487-6274
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2013
Last Update Date : 12/09/2013

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Directions to “ STEPHANIE LEE ” Practice Location

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