Provider Demographics
NPI:1003790932
Name:LEE, CEDANEO TIANT
Entity type:Individual
Prefix:
First Name:CEDANEO
Middle Name:TIANT
Last Name:LEE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:359 HAYWOOD LN
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-5424
Mailing Address - Country:US
Mailing Address - Phone:615-401-0345
Mailing Address - Fax:
Practice Address - Street 1:359 HAYWOOD LN
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-5424
Practice Address - Country:US
Practice Address - Phone:615-401-0345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-04
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)