| Matthew Jasun Lee, RDN | |
|
15630 18th Ave, Clearlake, CA 95422-9336 | |
| (707) 995-5842 | |
| Not Available |
| Full Name | Matthew Jasun Lee |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 15630 18th Ave, Clearlake, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740804368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 1080257 (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Jasun Lee, RDN 3465 Lakeshore Blvd Apt 1, Lakeport, CA 95453-6640 Ph: (443) 889-1515 | Matthew Jasun Lee, RDN 15630 18th Ave, Clearlake, CA 95422-9336 Ph: (707) 995-5842 |
Patricia Ann Cotherman, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-994-6486 Fax: 707-994-8731 | |
Helen Ann Sandager, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 15630 18th Ave, Clearlake, CA 95422 Phone: 707-995-5741 Fax: 707-995-1408 |