Wallace, Lee S.

Wallace, Lee S. is an individual health care provider with primary practice located at 711 Jefferson Ave , Memphis TN 38105-5003. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Metabolic, which is considered as her primary health care specialty. Wallace, Lee S. can be contacted via phone (901) 448-6511.

Contact Information

Primary practice address
711 Jefferson Ave Memphis TN 38105-5003
Phone: (901) 448-6511
Fax: (901) 448-7097
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X LDN0000000356 Tennessee

Profile Details

NPI number 1861418535
LBN Legal business name Wallace, Lee S.
Credentials MS, RD, LDN, FADA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2006
Last updated Jun 24th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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