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Leslie List

Dietitian, Registered in Aurora, CO. Individual provider (NPI-1).

NPI number1124631007
StatusActive
Last updated in NPPESAug 28, 2020

Details

NPI
1124631007
Entity type
Individual (NPI-1)
Name
Leslie List
Sex
Female
Sole proprietor
No
Enumeration date
Aug 28, 2020
Certification date
Aug 28, 2020
Last updated
Aug 28, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered929383COYes

Practice location

14400 E Jewell Ave
Aurora, CO 80012-5689

Phone 303-283-5380

Mailing address

14400 E Jewell Ave
Aurora, CO 80012-5689

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