Provider Demographics
NPI:1801904388
Name:CARTER, LEE F (MD)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:F
Last Name:CARTER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1427
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92659-0427
Mailing Address - Country:US
Mailing Address - Phone:949-612-8108
Mailing Address - Fax:949-612-8048
Practice Address - Street 1:351 HOSPITAL RD STE 307
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3505
Practice Address - Country:US
Practice Address - Phone:949-612-8108
Practice Address - Fax:949-612-8048
Is Sole Proprietor?:No
Enumeration Date:2006-08-26
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG65924207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF11279Medicare UPIN