Individual
MR. BRANDON LUKAS LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, CSSD, CCRP
Contact information
Practice address
11050 MT BELVEDERE BLVD, FORT DRUM, NY 13602-2603
(315) 772-0471
Mailing address
10263 FOURTH ARMORED DIVISION DR., FORT DRUM, NY 13602
(315) 772-0471
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/14/2024
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