Individual
LEE S MOORE
Active
Individual
LEE S MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD15695
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1940006
UNITED HEALTH CARE
TN
05
—
3378641
—
TN
01
—
340011880
RAILROAD MEDICARE
TN
01
—
6524763
CIGNA HEALTHCARE
TN
01
—
94833
BLUE CROSS BLUE SHEILD
TN
Enumeration date
08/29/2005
Last updated
05/27/2022
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