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NPI Code Detail

MEDICARE: OLIVIA JADE LEITZEL

MEDICARE: OLIVIA JADE LEITZEL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDN009521PA

General Provider Information

NPI Number : 1821924804
Entity Type Code : Individual
Provider Name (Legal Business Name) : OLIVIA JADE LEITZEL
Provider Business Mailing Address
First Line : 3420 TEEL RD
Second Line :
City : DANIELSVILLE
State : PA
Zip : 18038-9550
Country : US
Telephone Number : 484-884-2964
Fax Number :
Provider Business Practice Location Address
First Line : 2545 SCHOENERSVILLE RD
Second Line :
City : BETHLEHEM
State : PA
Zip : 18017-7300
Country : US
Telephone Number : 484-884-2964
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/18/2026
Last Update Date : 06/18/2026

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Directions to “ OLIVIA JADE LEITZEL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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