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Individual

DR. LEE B DITTRICH

Active
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Individual

DR. LEE B DITTRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
36383
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3874778
BLUE CROSS
TN
01
7120405
AETNA
TN
05
Q007919
TN
Enumeration date
05/03/2006
Last updated
04/02/2026
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