Provider Demographics
NPI:1447847165
Name:LEE, ERIN HOPE (RDN)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:HOPE
Last Name:LEE
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6882 STRONG BOX CIR
Mailing Address - Street 2:
Mailing Address - City:ROSCOE
Mailing Address - State:IL
Mailing Address - Zip Code:61073-9031
Mailing Address - Country:US
Mailing Address - Phone:815-621-5887
Mailing Address - Fax:
Practice Address - Street 1:6882 STRONG BOX CIR
Practice Address - Street 2:
Practice Address - City:ROSCOE
Practice Address - State:IL
Practice Address - Zip Code:61073-9031
Practice Address - Country:US
Practice Address - Phone:815-621-5887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-29
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered