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Individual

ELIZABETH LEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS RD

Contact information

Practice address
601 W HOUSTON AVE, FULLERTON, CA 92832-3113
(860) 348-3281
Mailing address
1303 W VALENCIA DR # 278, FULLERTON, CA 92833-4034

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1056464
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1056464
COMMISSION ON DIETETIC REGISTRATION
Enumeration date
07/20/2016
Last updated
01/15/2024
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