Provider Demographics
NPI:1104046515
Name:TURNER, LEE L (MD)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:L
Last Name:TURNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 TRAILS OF KITAZUMA RD
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-0270
Mailing Address - Country:US
Mailing Address - Phone:828-551-9845
Mailing Address - Fax:
Practice Address - Street 1:15 TRAILS OF KITAZUMA RD
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-0270
Practice Address - Country:US
Practice Address - Phone:828-551-9845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2011-01454208600000X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1104046515Medicaid
MS02506861Medicaid
MS02506861Medicaid
NC1104046515Medicaid
MS020000571Medicare PIN