Provider Demographics
NPI:1891064432
Name:ALEXANDERSON-LEE, HELEN CHAEEUN (PHD, RD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:CHAEEUN
Last Name:ALEXANDERSON-LEE
Suffix:
Gender:F
Credentials:PHD, RD
Other - Prefix:DR
Other - First Name:HELEN
Other - Middle Name:C
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD, RD
Mailing Address - Street 1:3350 E SANTA ANA AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-0620
Mailing Address - Country:US
Mailing Address - Phone:310-867-4098
Mailing Address - Fax:888-866-8173
Practice Address - Street 1:3350 E SANTA ANA AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-0620
Practice Address - Country:US
Practice Address - Phone:310-867-4098
Practice Address - Fax:888-866-8173
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-28
Last Update Date:2016-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
392612133VN1004X, 133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric