Individual
LEE H LICHTENWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
414 E MAIN ST, DURHAM, NC 27701-3720
(919) 560-7781
Mailing address
5416 SUNNY RIDGE DR, DURHAM, NC 27705-8552
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000718
NC
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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