Individual
DR. LEE B DITTRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
123 FOX RD, KNOXVILLE, TN 37922-3369
(865) 690-9467
(865) 637-5057
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
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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