Individual
LEANNE RENEE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
705 BROWNELL AVE, SAINT LOUIS, MO 63122-3234
(314) 623-9946
Mailing address
705 BROWNELL AVE, SAINT LOUIS, MO 63122-3234
(314) 623-9946
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2010012940
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861674871
INSIGHT DIETITIANS
MO
Enumeration date
08/29/2011
Last updated
10/09/2013
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