Individual
DR. MICHELLE LANPHERE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
807 UNIVERSITY PKWY, BOX 70403, JOHNSON CITY, TN 37614-1703
(423) 439-4071
(423) 439-4060
Mailing address
BOX 70403, 807 UNIVERSITY PKWY, JOHNSON CITY, TN 37614-1703
(423) 439-4071
(423) 439-4060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000001467
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LDN1467
ST LIC
TN
Enumeration date
07/24/2012
Last updated
10/19/2012
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