NPI 1104064138

Larry Cleveland, RDLDLMT

Practitioner Registered Dietitian Denton, TX

Practice location

Address: 2430 S I-35 E STE 128, Denton, TX 76205-4943
Phone: (972) 824-5011

Registered specialties (2)

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 847306 (TX)

Other Dietitian, Registered providers in Texas →

Registered Dietitian

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence DT06352 (TX)

Registry record

NPI: 1104064138
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Jan 2009
Record last updated: 28 Jun 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.