Individual
PHOEBE LANSING LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
200 N 3RD ST, APT 501, BOISE, ID 83702-7213
(208) 386-9065
Mailing address
200 N 3RD ST, APT 501, BOISE, ID 83702-7213
(208) 386-9065
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D069
ID
Other
Enumeration date
08/19/2006
Last updated
01/03/2009
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