Individual
STEVEN LALEVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-4948
Mailing address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-4948
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002123A
IN
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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