Individual
GAY LYNN LEVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
36000 DARNALL LOOP, RM 0609, FORT HOOD, TX 76544-5095
(254) 288-8860
Mailing address
1105 ALEXANDER ST, KILLEEN, TX 76541-3772
(254) 501-8632
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
858005
TX
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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