Individual
LEE LIGUORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
3604 HOUSEHOLDER ST APT 312, PIGEON FORGE, TN 37863-3437
(330) 774-3855
Mailing address
3604 HOUSEHOLDER ST APT 312, PIGEON FORGE, TN 37863-3437
(330) 774-3855
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1039440
RD
VA
Enumeration date
07/25/2019
Last updated
07/25/2019
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