Individual
DR. RYAN LAVANCE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5564 LITTLE DEBBIE PKWY STE 108, COLLEGE DALE, TN 37363-4356
(423) 498-3400
Mailing address
PO BOX 2362, OOLTEWAH, TN 37363-2362
(423) 498-3400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3045
TN
Other
Enumeration date
10/09/2017
Last updated
06/10/2020
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