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MS. LEE S. WALLACE MS, RD, LDN, FADA
NPI 1861418535
Dietitian, Registered - Nutrition, Metabolic in Memphis, TN

Active since July 14, 2006
711 JEFFERSON AVE, MEMPHIS, TN 38105(901) 448-6511(901) 448-7097 Get Directions Write a Review

NPPES record last updated: June 24, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Lee S. Wallace Ms, Rd, Ldn, Fada NPPES

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

MS. LEE S. WALLACE MS, RD, LDN, FADA (NPI 1861418535) is an individual nutrition, metabolic provider in Memphis, Tennessee, licensed in Tennessee (LDN0000000356) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1861418535
Entity TypeIndividualFemale
Primary Taxonomy133VN1006X
Provider Legal NameMS. LEE S. WALLACECredential: MS, RD, LDN, FADA
Location Address711 JEFFERSON AVEMemphis, TN 38105-5003
Mailing Address711 Jefferson AveMemphis, TN 38105-5003 · (901) 448-6511 · Fax (901) 448-7097
Phone(901) 448-6511
Fax(901) 448-7097
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateJune 24, 2008
✔ NPI 1861418535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, MetabolicDietary & Nutritional Service Providers
Taxonomy Code133VN1006X
License✔ Licensed in TN · LDN0000000356
Definition

A registered dietitian who achieves specialized competency in metabolic nutrition.

711 JEFFERSON AVE, Memphis, TN 38105
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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.

BELINDA HARDY L.C.S.W.
Social Worker (Clinical)
711 JEFFERSON AVE
MEMPHIS, TN 38105
Shelby County (901) 448-6511
DR. JOYCE B. BITTLE PH.D.,R.D.,L.D.N.
Dietitian, Registered (Nutrition, Metabolic)
711 JEFFERSON AVE
MEMPHIS, TN 38105
Shelby County (901) 448-6511
SUSAN M. MCFADDEN ED.D., OT
Occupational Therapist
711 JEFFERSON AVE
MEMPHIS, TN 38105
Shelby County (901) 448-6511
GLENDA BROOKS L.C.S.W.
Social Worker (Clinical)
711 JEFFERSON AVE
MEMPHIS, TN 38105
Shelby County (901) 448-6511
DR. JANET TODD PH.D.
Psychologist
711 JEFFERSON AVE
MEMPHIS, TN 38105
Shelby County (901) 448-6511
DR. JOYCE C GRAFF PH.D.,RN
Registered Nurse (Continuing Education/Staff Development)
711 JEFFERSON AVE
MEMPHIS, TN 38105
Shelby County (901) 448-6511
MRS. BRENDA A. HADDAKIN LPN
Licensed Practical Nurse
711 JEFFERSON AVE
MEMPHIS, TN 38105
Shelby County (901) 448-6511
MRS. SARAH HAZLEGROVE SULLIVAN MS, RD, LDN
Dietitian, Registered (Nutrition, Metabolic)
711 JEFFERSON AVE
MEMPHIS, TN 38105
Shelby County (901) 448-6511

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lee Wallace's NPI number?

The NPI number for Lee Wallace is 1861418535. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Lee Wallace located?

Lee Wallace practices at 711 Jefferson Ave, Memphis, TN 38105. The listed phone number is (901) 448-6511.

What is Lee Wallace's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Metabolic, with taxonomy code 133VN1006X.

When was this NPI record last updated?

The NPPES record for Lee Wallace was last updated on June 24, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.