Individual
LESLIE L HAWK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
2016 S MAIN ST, ST. FRANCIS HOSPITAL, MARYVILLE, MO 64468-2655
(660) 562-7937
(660) 562-7082
Mailing address
25564 270TH ST, MARYVILLE, MO 64468-7483
(660) 562-7937
(660) 562-7082
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2001016309
MO
Other
Enumeration date
12/22/2006
Last updated
07/08/2007
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