Individual
MISS LEIGH ANNE BOYKIN I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1030 JEFFERSON AVE, NUTRITION AND FOOD SERVICE 120, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
1347 BROADSTONE CV, CORDOVA, TN 38016-4960
(901) 309-5792
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000001565
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
884172
CDR REGISTRATION
—
01
—
LDN0000001565
LICENSED DIETITIAN/NUTRIT
TN
Enumeration date
08/16/2006
Last updated
07/08/2007
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