Individual
MRS. LEANN R MATLIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1600 ALBANY ST, BEECH GROVE, IN 46107-1541
(317) 782-7525
Mailing address
8369 BLUESTEM LN, PLAINFIELD, IN 46168-4769
(317) 838-9104
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/03/2007
Last updated
10/31/2007
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