Anastasia M Leifheit DIETICIAN

NPI 1093708851 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1093708851
Gender Female
Enumeration Date 08/26/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
2003 LINCOLN WAY
COEUR D ALENE ID, 83814-2611, US
Phone (208) 666-2000
Fax (208) 666-3963
Business Location
2003 LINCOLN WAY
COEUR D ALENE ID, 83814-2611, US
Phone (208) 666-2000
Fax (208) 666-3963
Toxanomy
Taxonomy Code 133V00000X
License State Idaho
License Number D131
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According to our database, Anastasia M Leifheit DIETICIAN NPI is 1093708851, taxonomy code is 133V00000X and license number is D131, license state is located at Idaho. Anastasia M Leifheit DIETICIAN physically located at 2003 Lincoln Way, Coeur D Alene ID, 83814-2611. NPI Number Anastasia M Leifheit DIETICIAN has the Individual type.

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1093708851 NPI number is provided on an as is basis without warranty of any kind. 1093708851 is maintained by the National Plan & Provider Enumeration System. The contents of Anastasia M Leifheit DIETICIAN are for informational purposes only.