Doctor Name: | LESLIE H KUBERA |
NPI Number: | 1003253279 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, RD, LDN |
License Number: | DN002850 |
Business Practice Address: | 721 E Lancaster Ave Downingtown, PA - 193352719 |
Business Phone Number: | 4846805366 |
Business Fax Number: | 4843970310 |
Mailing Address: | 721 E Lancaster Ave, DOWNINGTOWN |
State: | PA |
Postal Code: | 193352719 |
Phone Number: | 4846805366 |
Fax Number: | 4843970310 |
NPI Enumeration Date: | 05/29/2013 |
NPI Last Update Date: | 05/29/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DN002850 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |