Provider Demographics
NPI:1518518349
Name:GARMAN, BROOKE LEIGH (RDN)
Entity Type:Individual
Prefix:MISS
First Name:BROOKE
Middle Name:LEIGH
Last Name:GARMAN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:733 OWL HILL RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-9241
Mailing Address - Country:US
Mailing Address - Phone:717-799-7309
Mailing Address - Fax:
Practice Address - Street 1:733 OWL HILL RD
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-9241
Practice Address - Country:US
Practice Address - Phone:717-799-7309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2020-02-21
Deactivation Date:2019-09-24
Deactivation Code:
Reactivation Date:2020-02-21
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered