| Doctor Name: | LESLIE GARDZINA |
| NPI Number: | 1265756209 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CD, CDE |
| License Number: | 0740000192 |
| Business Practice Address: | 133 Fairfield St Saint Albans, VT - 054781726 |
| Business Phone Number: | 8025245911 |
| Business Fax Number: | |
| Mailing Address: | 260 Crest Rd, Suite 205 SAINT ALBANS |
| State: | VT |
| Postal Code: | 054789503 |
| Phone Number: | 8025248848 |
| Fax Number: | 8025241216 |
| NPI Enumeration Date: | 03/19/2010 |
| NPI Last Update Date: | 03/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 0740000192 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| 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 |