Provider Demographics
NPI:1467278382
Name:LEE, MEREDITH ERIN (RD, LDN, CNSC)
Entity type:Individual
Prefix:
First Name:MEREDITH
Middle Name:ERIN
Last Name:LEE
Suffix:
Gender:F
Credentials:RD, LDN, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6822 CONSTITUTION LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-4218
Mailing Address - Country:US
Mailing Address - Phone:704-962-2401
Mailing Address - Fax:
Practice Address - Street 1:6822 CONSTITUTION LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-4218
Practice Address - Country:US
Practice Address - Phone:704-962-2401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered