Stacie Leahy

NPI #1750748646 in Medford, Wisconsin

Provider Information

NPI Number: 1750748646
Entity Type: Individual
Name: Stacie Leahy
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Enumeration Date: Jan 22, 2016
Last Updated: Jan 22, 2016

Practice Location

Address: 135 S GIBSON ST
City: Medford
State: Wisconsin
ZIP Code: 54451-1622
Phone: (715) 748-8100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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