MEDICARE: MRS. KATIE LEE MS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133NN1002X	Nutrition Education Nutritionist		MD

General Provider Information

NPI Number	:	1952263204
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATIE LEE MS

Provider Business Mailing Address
First Line	:	6000 EXECUTIVE BLVD STE 304
Second Line	:
City	:	NORTH BETHESDA
State	:	MD
Zip	:	20852-3875
Country	:	US
Telephone Number	:	301-907-1070
Fax Number	:

Provider Business Practice Location Address
First Line	:	5301 BUCKEYSTOWN PIKE STE 308
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21704-8373
Country	:	US
Telephone Number	:	301-246-0423
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	04/07/2026

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