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Individual

RONALD VINCENT LEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6423 ANNANDALE CV, BRENTWOOD, TN 37027-6316
(615) 469-0938
Mailing address
6423 ANNANDALE CV, BRENTWOOD, TN 37027-6316
(615) 469-0938

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MD0000037353
MEDICAL LICENSE
TN
Enumeration date
01/29/2007
Last updated
07/08/2007
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