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Individual

DR. LEA PEYTON GEBHARDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD, RDN, LDN

Contact information

Practice address
809 W 12TH ST STE E4, AUSTIN, TX 78701-1703
(512) 765-5947
Mailing address
4709 AVENUE G, AUSTIN, TX 78751-3120
(512) 788-6794
(512) 519-8768

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT80880
TX

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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