Provider Demographics
NPI:1669032587
Name:LEVER, CHERYL K (MS RDN)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:K
Last Name:LEVER
Suffix:
Gender:F
Credentials:MS RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23115 GREENLAWN AVE
Mailing Address - Street 2:
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-1419
Mailing Address - Country:US
Mailing Address - Phone:216-691-9646
Mailing Address - Fax:216-691-9646
Practice Address - Street 1:23115 GREENLAWN AVE
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-1419
Practice Address - Country:US
Practice Address - Phone:216-691-9646
Practice Address - Fax:216-691-9646
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-13
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD3556133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered