MRS. Diane R Levine, RD, LD, CDE

NPI #1104810282 in Louisville, Kentucky

Provider Information

NPI Number: 1104810282
Entity Type: Individual
Name: MRS. Diane R Levine, RD, LD, CDE
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD, LD, CDE
Enumeration Date: Sep 6, 2005
Last Updated: Feb 1, 2016

Practice Location

Address: 4002 KRESGE WAY
Address 2: SUITE 124
City: Louisville
State: Kentucky
ZIP Code: 40207-4661
Phone: (502) 895-4263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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