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Contact Information

LEAH M WALTERS, RDLD/CDE
705 PLEASANT AVE S
PARK RAPIDS, MN56470-1440
 Phone: 218-732-2800
 Fax: 218-732-2874
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
Indicates primary specialty

NPI Profile & details for LEAH M WALTERS · (Female)

NPI Number 1407897168
Status Active
Credentials RDLD/CDE
Entity Individual
Enumeration date 06/10/2006
Last updated 08/08/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 1507
  • MN Medicaid 1407897168
  • MN Other 6300061 MEDICA #
  • MN Other 6300062 MEDICA #
  • MN Other 6300063 MEDICA #
  • MN Other 6D677WA MNBS #
  • MN Other 6D678WA MNBS #
  • MN Other 6D679WA MNBS #
  • MN Other 15790 NDBS #
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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