Moore, Lee S

Moore, Lee S is an individual health care provider with primary practice located at 320 N Oak Ave , Cookeville TN 38501-2440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Moore, Lee S can be contacted via phone (931) 528-5547.

Contact Information

Primary practice address
320 N Oak Ave Cookeville TN 38501-2440
Phone: (931) 528-5547
Fax: (931) 526-2699
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MD15695 Tennessee

Profile Details

NPI number 1508859166
LBN Legal business name Moore, Lee S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated May 27th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508859166 NPPES
Tennessee MEDICAID 3378641
Tennessee Other 340011880
Tennessee Other 6524763
Tennessee Other 94833
Tennessee Other 1940006

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