Mr Lee A Cleveland, RD CDE is a
Dietitian, Registered based in Menasha, Wisconsin. Mr Lee A Cleveland is licensed to practice in Wisconsin (license number 1864) and his current practice location is
1550 Midway Pl, Menasha, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 585-4961.
NPI number for Mr Lee A Cleveland is 1295722957 and his current mailing address is W5008 Golf Course Rd, #604, Sherwood, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295722957.
Healthcare Provider's Profile
| Full Name | Mr Lee A Cleveland |
|---|
| Gender | Male |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 1550 Midway Pl, Menasha, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1295722957
- Provider Enumeration Date: 09/28/2005
- Last Update Date: 04/23/2013
Medical Identifiers
Medical identifiers for Mr Lee A Cleveland such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295722957 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 1864 (Wisconsin) | 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. Mr Lee A Cleveland 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 |
|---|
Mr Lee A Cleveland, RD CDE
W5008 Golf Course Rd, #604,
Sherwood, WI 54169-9723
Ph: (920) 585-4961 | Mr Lee A Cleveland, RD CDE
1550 Midway Pl,
Menasha, WI 54952-1165
Ph: (920) 585-4961 |
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