Individual
JOANIE K LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-8150
(407) 303-1573
Mailing address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-8150
(407) 303-1573
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
918558
WA
133V00000X
Registered Dietitian
Primary
ND5527
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0209183
L&I PIN
WA
01
—
39568U
REGENCE BLUE SHIELD PIN
WA
05
—
8451320
—
WA
Enumeration date
06/23/2006
Last updated
10/25/2010
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