Lee S. Wallace, MS, RD, LDN, FADA Valid NPI
Individual provider · Metabolic Nutrition Registered Dietitian · Memphis, TN
- NPI
- 1861418535
- Type
- Individual (Type 1)
- Primary specialty
- Metabolic Nutrition Registered Dietitian (Dietitian, Registered)
- Specialty group
- Dietary & Nutritional Service Providers
- Taxonomy code
- 133VN1006X
- License number
- LDN0000000356 (TN)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2006-07-14
- Last updated
- 2008-06-24
Practice location
711 Jefferson Ave
Memphis, TN 38105-5003
(901) 448-6511