Individual
SUSAN R LEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-7642
Mailing address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-7642
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1804
WI
Other
Enumeration date
09/30/2008
Last updated
09/15/2020
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