Individual
DR. SUE J LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5653 FRIST BLVD, SUITE 530, HERMITAGE, TN 37076
(615) 885-1093
(615) 885-1110
Mailing address
5653 FRIST BLVD, SUITE 530, HERMITAGE, TN 37076
(615) 885-1093
(615) 885-1110
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24454
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075603
—
TN
05
—
3707485
—
TN
01
—
62-1612525
TAX INDENTIFICATION #
TN
Enumeration date
07/08/2005
Last updated
02/12/2010
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