Individual
MAGGIE LEFAVOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2551 N CLARK ST STE 400, CHICAGO, IL 60614-7725
(312) 533-1754
Mailing address
15000 MIDLANTIC DR STE 101, MOUNT LAUREL, NJ 08054-1573
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
06/20/2024
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