Individual provider · Type 1 NPI

Lee Carl Pederson, MD

Surgery Physician · Charlotte, NC

NPI number 1083690622 Active

Practice location

1918 Randolph Rd Ste 300
Charlotte, NC 28207-1112

Call (704) 333-0741 Map

Fax (704) 333-3356

Mailing address

PO Box 604350
Charlotte, NC 28260-4350

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X200300515 (NC)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1083690622

Lee Carl Pederson, MD's National Provider Identifier is 1083690622, issued on Dec 15, 2005. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Charlotte, NC. The record was last updated on Nov 5, 2025.