Provider Demographics
NPI:1619988656
Name:OLIU, LESLEE ROBINSON (MPH, RD, CHES)
Entity Type:Individual
Prefix:MS
First Name:LESLEE
Middle Name:ROBINSON
Last Name:OLIU
Suffix:
Gender:F
Credentials:MPH, RD, CHES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 TERRILL DR
Mailing Address - Street 2:
Mailing Address - City:CALIFON
Mailing Address - State:NJ
Mailing Address - Zip Code:07830-3444
Mailing Address - Country:US
Mailing Address - Phone:908-832-0043
Mailing Address - Fax:
Practice Address - Street 1:12 TERRILL DR
Practice Address - Street 2:
Practice Address - City:CALIFON
Practice Address - State:NJ
Practice Address - Zip Code:07830-3444
Practice Address - Country:US
Practice Address - Phone:908-832-0043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ00561626133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered