Individual
DR. LEE T MYERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1952 LAMAR AVE, MEMPHIS, TN 38114-2151
(901) 276-4629
Mailing address
1952 LAMAR AVE, MEMPHIS, TN 38114-2151
(901) 276-4629
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7039
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437147337
TENNCARE
TN
Enumeration date
10/14/2005
Last updated
08/14/2024
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