Individual
COURTNEY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CDN, CLT
Contact information
Practice address
204 MAGNOLIA TRL, BRANDON, MS 39047-6504
(423) 794-6862
Mailing address
204 MAGNOLIA TRL, BRANDON, MS 39047-6504
(423) 794-6862
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
008862
NY
133V00000X
Registered Dietitian
3387
TN
Other
Enumeration date
03/09/2018
Last updated
02/23/2021
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