Individual
LEE E SPEED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
9125 CROSS PARK DR STE 200, KNOXVILLE, TN 37923-4563
(865) 632-5900
(865) 374-2129
Mailing address
PO BOX 1754, ALLENTOWN, PA 18105-1754
(610) 798-4500
(610) 798-4699
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1704
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0993510
KEYSTONE CENTRAL
PA
01
—
20045751
AMERIHEALTH MERCY
PA
05
—
3665361
—
TN
01
—
500443524
CAPITAL BLUE CROSS
PA
01
—
P00186451
RAILROAD MEDICARE
PA
Enumeration date
05/16/2006
Last updated
08/14/2024
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