Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208800000X | Urologist | 23727 | NC |
NPI | 1003055211 |
---|---|
Provider Name | Dr. Bernard Stephen Lebenson |
First Address | Cary, NC 27518-8931 |
Second Address | Cary, NC 27518-8931 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/02/2009 |
Last Update Date | 11/02/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3E39274 | (05) | NC |