Provider Demographics
NPI:1144566605
Name:STEFFAN, LEIGH ANNE (RD)
Entity Type:Individual
Prefix:MISS
First Name:LEIGH
Middle Name:ANNE
Last Name:STEFFAN
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:200 JAMES PL
Mailing Address - Street 2:SUITE 306
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-3445
Mailing Address - Country:US
Mailing Address - Phone:412-423-8837
Mailing Address - Fax:412-646-1387
Practice Address - Street 1:200 JAMES PL
Practice Address - Street 2:SUITE 306
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-3445
Practice Address - Country:US
Practice Address - Phone:412-423-8837
Practice Address - Fax:412-646-1387
Is Sole Proprietor?:No
Enumeration Date:2013-01-02
Last Update Date:2013-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005021133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered