Healthcare Provider Details

I. General information

NPI: 1871848390
Provider Name (Legal Business Name): LESLIE BUGEL HUFFMAN RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2012
Last Update Date: 07/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR DEPARTMENT OF NUTRITION AND FOOD SERVICES
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

101 MANNING DR DEPARTMENT OF NUTRITION AND FOOD SERVICES
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 919-843-1453
  • Fax: 919-966-3217
Mailing address:
  • Phone: 919-843-1453
  • Fax: 919-966-3217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL003978
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: