National Provider Identifier

Shannon Rose Lee, RDN

Shannon Rose Lee, RDN is listed in the NPPES registry with a primary specialty of Registered Dietitian in Pittsford, NY and a listed phone number of (585) 504-1925.

NPI 1699647628Pittsford, NYRegistered Dietitian

Profile Overview

NPI
1699647628
Provider Type
Individual
Primary Specialty
Registered Dietitian
Enumeration Date
September 19, 2025
Last Updated
September 19, 2025

Practice Location

  • 1151 Pittsford Victor RD
  • Pittsford, NY 14534-3800

Phone: (585) 504-1925

Mailing Address

  • 195 Oscawana Lake RD
  • Putnam Valley, NY 10579-2600

Specialties

  • Registered Dietitian (133V00000X)
Full Record
NPI
1699647628
Entity Type
Individual
Last Name
Lee
First Name
Shannon
Middle Name
Rose
Credential
RDN
Mailing Street Address
195 Oscawana Lake RD
Mailing City
Putnam Valley
Mailing State
NY
Mailing ZIP Code
10579-2600
Mailing Country
US
Practice Street Address
1151 Pittsford Victor RD
Practice City
Pittsford
Practice State
NY
Practice ZIP Code
14534-3800
Practice Country
US
Practice Phone
(585) 504-1925
Enumeration Date
September 19, 2025
Last Updated
September 19, 2025
Sex
Female
Sole Proprietor
No
Certification Date
September 19, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Dietitian (133V00000X)