Individual
NICHOLAS LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
1400 W PARK ST, URBANA, IL 61801-2334
(217) 337-2890
Mailing address
510 E HACKBERRY DR, ARLINGTON HTS, IL 60004-1519
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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