Healthcare Provider Details

I. General information

NPI: 1215303581
Provider Name (Legal Business Name): HANNAH FRANCES LEU RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2015
Last Update Date: 08/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US

IV. Provider business mailing address

8 BRADENTON CT
GAITHERSBURG MD
20878-1991
US

V. Phone/Fax

Practice location:
  • Phone: 202-476-5164
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberDI100000762
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: