Doctor Name: | LESLIE L LANGEVIN |
NPI Number: | 1487983243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD |
License Number: | 0740061847 |
Business Practice Address: | 20 Winter Sport Ln Suite 155 Williston, VT - 054958134 |
Business Phone Number: | 8029999207 |
Business Fax Number: | 8027352361 |
Mailing Address: | 20 Winter Sport Ln, Suite 155 WILLISTON |
State: | VT |
Postal Code: | 054958134 |
Phone Number: | 8029999207 |
Fax Number: | 8027352361 |
NPI Enumeration Date: | 12/08/2009 |
NPI Last Update Date: | 01/06/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 0740061847 |
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 |