Individual
TERESA M LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4359 NEW SHEPHERDSVILLE RD, SUITE 245, BARDSTOWN, KY 40004-8000
(502) 350-5494
(502) 350-5820
Mailing address
4359 NEW SHEPHERDSVILLE RD, SUITE 245, BARDSTOWN, KY 40004-8000
(502) 350-5494
(502) 350-5820
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2424
KY
Other
Enumeration date
09/26/2012
Last updated
09/26/2012
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