Individual provider · NPI-1

Lee Altenburger, IDC

Military Health Care Provider, Independent Duty Corpsman · Camp Lejeune, NC

NPI number1063382067
StatusActive
Last updated in NPPESNov 6, 2025

Details

NPI
1063382067
Entity type
Individual (NPI-1)
Name
Lee Altenburger
Credential
IDC
Sex
Male
Sole proprietor
No
Enumeration date
Nov 6, 2025
Certification date
Nov 6, 2025
Last updated
Nov 6, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1710I1002X Military Health Care Provider, Independent Duty Corpsman–NCYes

Practice location

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Phone 910-353-0186

Mailing address

100 Brewster Blvd
Camp Lejeune, NC 28547-2575

Phone 910-353-0186

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