Most Relevant Information
Provider Data
| NPI Number: | 1003019415 |
| Provider Name: | LEIGH ANNE SULLIVAN RD, LD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 1456 |
Most Important Dates
| Enumeration Date: | 06/06/2007 |
| Last Updated: | 01/07/2021 |
Provider Practice Location
3116 ROLLING KNOLL DR
FARMERS BRANCH
TX
752343738
Practice Location Phone/Fax
| Phone: | 2144359490 |
| Fax: |
Provider Mailing Location
3116 ROLLING KNOLL DR
FARMERS BRANCH
TX
752343738
Provider Mailing Phone/Fax
| Phone: | 2144359490 |
| Fax: |