Provider Demographics
NPI:1326519133
Name:HEM-LEE, LYNETTE MARLENE (RDN)
Entity Type:Individual
Prefix:MRS
First Name:LYNETTE
Middle Name:MARLENE
Last Name:HEM-LEE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-1633
Mailing Address - Country:US
Mailing Address - Phone:201-744-7749
Mailing Address - Fax:
Practice Address - Street 1:2 UNIVERSITY PLZ STE 100
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-6210
Practice Address - Country:US
Practice Address - Phone:201-744-7749
Practice Address - Fax:201-742-6304
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2021-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1085887133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered