Individual
MS. CAROLE LEE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
3200 READING CREST AVE, READING, PA 19605-1656
(610) 921-2366
(610) 929-5138
Mailing address
3200 READING CREST AVE, READING, PA 19605-1656
(610) 921-2366
(610) 929-5138
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN000692
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003240801
BLUE CROSS PROVIDER NUMBE
PA
01
—
71000285
UNITED HEALTHCARE PROV NU
PA
Enumeration date
04/25/2006
Last updated
07/08/2007
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