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Lea Michelle Seals, MS, RD, LD, CSP

Dietitian, Registered, Nutrition, Pediatric in Brookville, IN. Individual provider (NPI-1).

NPI number1083101547
StatusActive
Last updated in NPPESApr 19, 2018

Details

NPI
1083101547
Entity type
Individual (NPI-1)
Name
Mrs. Lea Michelle Seals
Credential
MS, RD, LD, CSP
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 19, 2018
Last updated
Apr 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133VN1004X Dietitian, Registered, Nutrition, Pediatric5395OHYes

Other names

  • Lea Michelle Bischoff (Former Name)

Practice location

518 Main St
Brookville, IN 47012-1408

Phone 513-310-0533

Mailing address

13159 Roemer Rd
Brookville, IN 47012-9531

Phone 513-310-0533

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