Matthew Jasun Lee, RDN is a
Dietitian, Registered based in Clearlake, California. Matthew Jasun Lee is licensed to practice in * (Not Available) (license number 1080257) and his current practice location is
15630 18th Ave, Clearlake, California. He can be reached at his office (for appointments etc.) via phone at
(707) 995-5842.
NPI number for Matthew Jasun Lee is 1740804368 and his current mailing address is 3465 Lakeshore Blvd Apt 1, Lakeport, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740804368.
Healthcare Provider's Profile
| 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. |
NPI Data:
- NPI Number: 1740804368
- Provider Enumeration Date: 05/29/2020
- Last Update Date: 05/29/2020
Medical Identifiers
Medical identifiers for Matthew Jasun Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740804368 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 1080257 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Matthew Jasun Lee is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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 |
Reviews and Comments