Provider Demographics
NPI:1699565093
Name:BARTNIK, LEE JOSEPH (RD)
Entity type:Individual
Prefix:
First Name:LEE
Middle Name:JOSEPH
Last Name:BARTNIK
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2596 COUNTY ROAD M
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54481-9553
Mailing Address - Country:US
Mailing Address - Phone:715-965-2366
Mailing Address - Fax:
Practice Address - Street 1:2596 COUNTY ROAD M
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54481-9553
Practice Address - Country:US
Practice Address - Phone:715-965-2366
Practice Address - Fax:715-965-2366
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI86080486133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered