Organization
THE SIMPLE DIETITIAN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LYNETTE MARLENE HEM-LEE RDN (OWNER)
(201) 744-7749
Entity
Organization
Contact information
Practice address
2 UNIVERSITY PLAZA, SUITE 100, HACKENSACK, NJ 07601
(201) 744-7749
(201) 742-6304
Mailing address
509 NORTH ST STE 100, TEANECK, NJ 07666-1633
(917) 982-8519
(201) 742-6304
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/01/2019
Last updated
08/10/2021
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