=====================================================
General NPI Number Information
=====================================================
NPI Number | 1275484487
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LEE BYRUM WARSTLER MPH, RDN, LDN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/04/2026
-----------------------------------------------------
Last Update Date | 02/04/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 341 KILMAYNE DR STE 104
-----------------------------------------------------
City | CARY
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27511-4490
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 828-333-0096
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 206 SPRING FLOWER LN
-----------------------------------------------------
City | DURHAM
-----------------------------------------------------
State | NC
-----------------------------------------------------
Zip | 27703-7614
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 704-615-9541
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 133V00000X
-----------------------------------------------------
Taxonomy Name | Registered Dietitian
-----------------------------------------------------
License Number | L007251
-----------------------------------------------------
License Number State | NC
-----------------------------------------------------