Provider Demographics
NPI:1437920501
Name:SANDSTEAD, LEE (CNC)
Entity Type:Individual
Prefix:MR
First Name:LEE
Middle Name:
Last Name:SANDSTEAD
Suffix:
Gender:M
Credentials:CNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1107 VENABLE DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-1305
Mailing Address - Country:US
Mailing Address - Phone:434-228-3512
Mailing Address - Fax:
Practice Address - Street 1:1107 VENABLE DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-1305
Practice Address - Country:US
Practice Address - Phone:434-228-3512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education