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Search › Illinois › 2081P2900X

Tennyson Lee, M.D

NPI 1518964980 · on the registry since 2005

Practice

Address
1101 W Diann Ln
Carbondale, IL 62901
Phone
(618) 997-6800
Fax
(618) 997-1187

Additional practice sites

  • 8141 S Emerson Ave, Indianapolis, IN
  • 5383 State Route 154, Pinckneyville, IL

Registry record

Primary taxonomy
2081P2900X
2081P2900X
Also registered as
2081P2900X
Licence states on file
IN, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-02-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois