Provider Demographics
NPI:1336188648
Name:LETT, MICHAEL F (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:F
Last Name:LETT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11730 KINGSTON PIKE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37934-3827
Mailing Address - Country:US
Mailing Address - Phone:865-966-8770
Mailing Address - Fax:865-777-3937
Practice Address - Street 1:11730 KINGSTON PIKE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37934-3827
Practice Address - Country:US
Practice Address - Phone:865-966-8770
Practice Address - Fax:865-777-3937
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2011-05-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNTN12161207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3198097Medicare ID - Type Unspecified
TNB04777Medicare UPIN