Individual
TERI GRACE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMNT.RD
Contact information
Practice address
807 CODY CIR, PAPILLION, NE 68046-3747
(402) 331-4943
Mailing address
807 CODY CIR, PAPILLION, NE 68046-3747
(402) 990-9292
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
764
NE
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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