Individual
TIMOTHY S LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
397 WALLACE RD, SUITE C305, NASHVILLE, TN 37211-4854
(615) 333-3115
(615) 333-3118
Mailing address
397 WALLACE RD STE C100, NASHVILLE, TN 37211-8018
(615) 834-6166
(615) 333-3118
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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