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NPI Code Detail

MEDICARE: DR. JOHN LEA IV M.D.

MEDICARE: DR. JOHN LEA IV M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianMD014202TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
13740030OTHERTNUNITED HEALTHCARE
260055OTHERTNBCBS OF TENNESSEE
31508941004OTHERTNCIGNA PPO
41508941005OTHERTNCIGNA HMO
54066875OTHERTNAETNA PPO
60995592OTHERTNAETNA HMO
7MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821090051
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOHN LEA IV M.D.
Provider Business Mailing Address
First Line : 95 WHITE BRIDGE RD
Second Line : STE 250
City : NASHVILLE
State : TN
Zip : 37205-1497
Country : US
Telephone Number : 615-354-5930
Fax Number : 615-356-5220
Provider Business Practice Location Address
First Line : 4230 HARDING RD
Second Line : STE 202
City : NASHVILLE
State : TN
Zip : 37205-2013
Country : US
Telephone Number : 615-385-4781
Fax Number : 615-356-5220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2005
Last Update Date : 11/05/2010

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