Individual
NORMAN E LIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD28522
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10012098
PHP TENNCARE
TN
01
—
1578547758
HUMANA
TN
05
—
38043801
—
TN
01
—
3940202
UNITED HEALTHCARE
TN
01
—
4024131
BCBS
TN
01
—
4472010
AETNA
TN
01
—
702002822
CARITEN
TN
01
—
8710353
CIGNA
TN
Enumeration date
12/01/2005
Last updated
07/06/2010
Update your record
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