Individual
DEANNA D LAVANTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
382 DEERPATH AVE SW, LEESBURG, VA 20175-2513
(703) 999-6804
Mailing address
382 DEERPATH AVE SW, LEESBURG, VA 20175-2513
(703) 999-6804
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60183733
WA
Other
Enumeration date
04/11/2006
Last updated
03/08/2016
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