MATTHEW JASUN LEE RDN
NPI 1740804368
Dietitian, Registered in Clearlake, CA

Q: What is Matthew Lee's NPI number?

The NPI number for Matthew Lee is 1740804368. It was assigned to this individual provider in the NPPES registry on May 29, 2020.

Q: What is Matthew Lee's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Lee was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 29, 2020

15630 18TH AVE, CLEARLAKE, CA 95422(707) 995-5842 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Matthew Jasun Lee Rdn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW JASUN LEE RDN (NPI 1740804368) is an individual dietitian, registered in Clearlake, California, licensed in (1080257) and active in the NPI registry since May 2020.

NPPES Registry Identity

NPI1740804368

Entity TypeIndividualMale

Primary Taxonomy133V00000X

Provider Legal NameMATTHEW JASUN LEECredential: RDN

Location Address15630 18TH AVEClearlake, CA 95422-9336

Mailing Address3465 Lakeshore Blvd Apt 1Lakeport, CA 95453-6640 · (443) 889-1515

Phone(707) 995-5842

Sole ProprietorNo

Enumeration DateMay 29, 2020

NPPES CertifiedMay 29, 2020

✔ NPI 1740804368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers

Taxonomy Code133V00000X

License✔ Licensed · 1080257

Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

15630 18TH AVE, Clearlake, CA 95422

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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