Matthew Jasun Lee, RDN

NPI #1740804368 in Clearlake, California

Provider Information

NPI Number: 1740804368
Entity Type: Individual
Name: Matthew Jasun Lee, RDN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RDN
Enumeration Date: May 29, 2020
Last Updated: May 29, 2020

Practice Location

Address: 15630 18TH AVE
City: Clearlake
State: California
ZIP Code: 95422-9336
Phone: (707) 995-5842

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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