Doctor Name: | LESA K DAHL-LELAND |
NPI Number: | 1255652640 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | REGISTERED DIETITIAN |
License Number: | 1063 |
Business Practice Address: | 519 S Galbraith St Blue Earth, MN - 560132155 |
Business Phone Number: | 5075263460 |
Business Fax Number: | 5075263428 |
Mailing Address: | 5484 550th Ave, BRICELYN |
State: | MN |
Postal Code: | 560143121 |
Phone Number: | 5075252318 |
Fax Number: | |
NPI Enumeration Date: | 06/20/2010 |
NPI Last Update Date: | 06/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1063 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
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 |