Individual
TIMOTHY S LEE
Active
Individual
TIMOTHY S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
24667
TN
2084N0400X
Neurology Physician
A53687
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A535870
—
CA
01
—
1511409
MEDICAID-MCC TEMP#
TN
01
—
P00274932
RAILROAD MEDICARE
CA
01
—
P00732471
RR MEDICARE
TN
01
—
WA53587C
PTAN PROVIDER IDENTIFIER
CA
Enumeration date
05/15/2006
Last updated
04/04/2025
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