MS. LEE S. WALLACE MS RD LDN FADA NPI 1861418535

NPI Information

NPI: 1861418535
Provider Name: MS. LEE S. WALLACE, MS, RD, LDN, FADA
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Individual

Specialization: Nutrition, Metabolic

Address:
711 JEFFERSON AVE
MEMPHIS, TN
ZIP 38105
Phone: (901) 448-6511
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MS. Lee S. Wallace, MS, RD, LDN, FADA is a nutrition and metabolic dietitian registered in Memphis, TN. MS. Lee S. Wallace, MS, RD, LDN, FADA NPI is 1861418535. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

711 JEFFERSON AVE
MEMPHIS, TN
ZIP 38105-003
Phone: (901) 448-6511
Fax: (901) 448-7097

The enumeration date for this NPI number is 7/14/2006 and was last updated on 6/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	133VN1006X	Dietitian, Registered	Nutrition, Metabolic	LDN0000000356	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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