Individual provider · NPI-1

Brandon Lee

Health & Wellness Coach · New Orleans, LA

NPI number1023851854

StatusActive

Last updated in NPPESJun 18, 2024

Details

NPI: 1023851854
Entity type: Individual (NPI-1)
Name: Brandon Lee
Sex: Male
Sole proprietor: Yes
Enumeration date: Jun 18, 2024
Certification date: Jun 18, 2024
Last updated: Jun 18, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
171400000X	Health & Wellness Coach	–	–	Yes
133N00000X	Nutritionist	–	–
174H00000X	Health Educator	–	–

Practice location

4480 Gen Degaulle Dr Ste 110
New Orleans, LA 70131-6319

Phone 504-581-8726 · Fax 504-370-4419

Mailing address

4480 Gen Degaulle Dr Ste 110
New Orleans, LA 70131-6319

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