Individual
LARRY CLEVELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD, LMT
Contact information
Practice address
2430 S I-35 E STE 128, DENTON, TX 76205-4943
(972) 824-5011
Mailing address
2430 S I-35 E STE 128, DENTON, TX 76205-4943
(972) 824-5011
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
847306
TX
133V00000X
Registered Dietitian
DT06352
TX
Other
Enumeration date
01/29/2009
Last updated
06/28/2010
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