Provider Demographics
NPI:1104530559
Name:LEE, FRANK DELLWOOD III (ACSM-CEP)
Entity type:Individual
Prefix:MR
First Name:FRANK
Middle Name:DELLWOOD
Last Name:LEE
Suffix:III
Gender:M
Credentials:ACSM-CEP
Other - Prefix:
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Mailing Address - Street 1:705 CANARY PINE CT
Mailing Address - Street 2:
Mailing Address - City:MANDEVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70471-2738
Mailing Address - Country:US
Mailing Address - Phone:985-264-0874
Mailing Address - Fax:
Practice Address - Street 1:1319 JEFFERSON HWY
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70121-2406
Practice Address - Country:US
Practice Address - Phone:504-842-5200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA1067771224Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist