Provider Demographics
NPI:1083956817
Name:RANZ, LEE REBECCA (DO)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:REBECCA
Last Name:RANZ
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111 MURPHY RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37209-4743
Mailing Address - Country:US
Mailing Address - Phone:615-414-2813
Mailing Address - Fax:
Practice Address - Street 1:4111 MURPHY RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-4743
Practice Address - Country:US
Practice Address - Phone:615-414-2813
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-19
Last Update Date:2023-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5101020279208100000X
TN3856208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty