Individual
CALLIE ANNE LEBRUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
1710 LAWRENCE DR STE 200, DE PERE, WI 54115-9195
(920) 570-6339
Mailing address
5871 RONK RD, DENMARK, WI 54208-9113
(920) 615-2778
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3612-29
WI
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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