Individual
MRS. LEIGH ELLEN LASTER DUDLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
1029 WISHING WELL LN, CHARLOTTE, NC 28270-2152
(704) 451-7401
Mailing address
1029 WISHING WELL LN, CHARLOTTE, NC 28270-2152
(704) 451-7401
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
3568
MA
133N00000X
Nutritionist
L004527
NC
133V00000X
Registered Dietitian
3568
MA
133V00000X
Registered Dietitian
Primary
L004527
NC
Other
Enumeration date
03/04/2014
Last updated
12/01/2015
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