NPI 1548484801

Leslie Anderson Petross, LDNRD

Practitioner Registered Dietitian Sulphur, LA

Practice location

Address: 701 East Cypress St, Sulphur, LA 70663-5053
Phone: (337) 527-4282
Fax: (337) 527-4127
Mailing address: 4316 Evelyn Gay Lane, Sulphur, LA 70664

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 1421 (LA)

Other Dietitian, Registered providers in Louisiana →

Registry record

NPI: 1548484801
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Apr 2007
Record last updated: 8 Jul 2007

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.