Doctor Name: | LESLIE BALLARD |
NPI Number: | 1811361413 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2323 |
Business Practice Address: | 15790 Paul Vega Md Dr Nutritional Services Hammond, LA - 704031434 |
Business Phone Number: | 9852306548 |
Business Fax Number: | 9852307080 |
Mailing Address: | Po Box 2668, HAMMOND |
State: | LA |
Postal Code: | 704042668 |
Phone Number: | 9852306548 |
Fax Number: | 9852307080 |
NPI Enumeration Date: | 11/19/2015 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2323 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
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 |