Provider Demographics
NPI:1477200400
Name:LEE, JAMIE CHUNG TING (REGISTERED DIETITIAN)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:CHUNG TING
Last Name:LEE
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 NOTRE DAME OUEST
Mailing Address - Street 2:APT 303
Mailing Address - City:MONTREAL
Mailing Address - State:QUEBEC
Mailing Address - Zip Code:H3C0S5
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4934 RUE SAINT DENIS
Practice Address - Street 2:
Practice Address - City:MONTREAL
Practice Address - State:QUEBEC
Practice Address - Zip Code:H2J2L6
Practice Address - Country:CA
Practice Address - Phone:202-738-4726
Practice Address - Fax:800-238-9511
Is Sole Proprietor?:No
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133N00000XDietary & Nutritional Service ProvidersNutritionist