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Individual

LEAH MCMANUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20 YORK ST, YALE NEW HAVEN HOSPITAL - DEPT OF FOOD AND NUTR EPB 806, NEW HAVEN, CT 06510-3220
(203) 688-3732
Mailing address
20 YORK ST, YALE NEW HAVEN HOSPITAL - DEPT OF FOOD AND NUTR EPB 806, NEW HAVEN, CT 06510-3220
(203) 688-3732

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
001135
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
001135
CT STATE CERTIFICATION DIETITIAN
CT
01
C02658
YALE NEW HAVEN HOSPITAL MEDICARE NUMBER
CT
Enumeration date
07/02/2013
Last updated
07/02/2013
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