Organization
NEW LEAF NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYMAN RD (OWNER)
(314) 322-8407
Entity
Organization
Contact information
Practice address
18 W INDUSTRIAL DR, O FALLON, MO 63366-1926
(314) 626-3472
Mailing address
72 FREYMUTH RD, LAKE SAINT LOUIS, MO 63367-1906
(314) 322-8407
(314) 499-9076
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/26/2020
Last updated
09/26/2020
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