Provider Demographics
NPI:1932926979
Name:LE, DIANA (PA-C)
Entity type:Individual
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First Name:DIANA
Middle Name:
Last Name:LE
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:20 MEDICINE CIRCLE CLINIC 5-1
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-681-6932
Mailing Address - Fax:919-684-5162
Practice Address - Street 1:20 MEDICINE CIRCLE CLINIC 5-1
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-681-6932
Practice Address - Fax:919-684-5162
Is Sole Proprietor?:No
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant