Provider Demographics
NPI:1659008845
Name:LEAH FIGUCCIO NUTRITION
Entity Type:Organization
Organization Name:LEAH FIGUCCIO NUTRITION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIETITIAN
Authorized Official - Prefix:MISS
Authorized Official - First Name:LEAH
Authorized Official - Middle Name:
Authorized Official - Last Name:FIGUCCIO
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD LDN
Authorized Official - Phone:570-730-2725
Mailing Address - Street 1:6313 SUNNYBROOK RD
Mailing Address - Street 2:
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031-1640
Mailing Address - Country:US
Mailing Address - Phone:570-730-2725
Mailing Address - Fax:
Practice Address - Street 1:808 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:ERDENHEIM
Practice Address - State:PA
Practice Address - Zip Code:19038-8110
Practice Address - Country:US
Practice Address - Phone:267-420-2104
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-07
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty