Provider Demographics
NPI:1326634973
Name:LESSIG, KATHRYN (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:LESSIG
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3593 SUGAR TREE PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-1376
Mailing Address - Country:US
Mailing Address - Phone:717-490-0417
Mailing Address - Fax:
Practice Address - Street 1:3593 SUGAR TREE PL
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-1376
Practice Address - Country:US
Practice Address - Phone:717-490-0417
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered