Individual
DR. JOHN T LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5118 PARK AVE, STE 101, MEMPHIS, TN 38117-5710
(901) 683-4529
(901) 767-4404
Mailing address
5118 PARK AVE, STE 101, MEMPHIS, TN 38117-5710
(901) 683-4529
(901) 767-4404
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OD396
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410009154
MEDICARE RAILROAD
TN
Enumeration date
05/31/2005
Last updated
03/03/2008
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