Individual
SUSAN LYNN LESLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
7810 BALLANTYNE COMMONS PKWY STE 221, CHARLOTTE, NC 28277-3416
(704) 995-3434
Mailing address
3051 PRIMROSE LANE, YPSILANTI, MI 48197-3213
(734) 604-8266
(833) 315-0019
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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