Individual
LEAH NEWMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1100 CLUB VILLAGE DR STE 102, COLUMBIA, MO 65203-4411
(573) 447-4400
Mailing address
1100 CLUB VILLAGE DR STE 102, COLUMBIA, MO 65203-4411
(573) 447-4400
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2010030320
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
504930207
—
MO
Enumeration date
10/01/2010
Last updated
10/01/2010
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