Provider Demographics
NPI:1255792719
Name:CRANFORD, LEE II (DC)
Entity type:Individual
Prefix:DR
First Name:LEE
Middle Name:
Last Name:CRANFORD
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SEVEN SPRINGS WAY APT 326
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5470
Mailing Address - Country:US
Mailing Address - Phone:615-403-4941
Mailing Address - Fax:
Practice Address - Street 1:300 SEVEN SPRINGS WAY APT 326
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5470
Practice Address - Country:US
Practice Address - Phone:615-403-4941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-11
Last Update Date:2016-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2917111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN2917OtherLICENSE NUMBER