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Individual

DR. JOHN T LEE

Active
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Individual

DR. JOHN T LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OD

Taxonomy

Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OD396
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410009154
MEDICARE RAILROAD
TN
Enumeration date
05/31/2005
Last updated
03/03/2008
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