Provider Demographics
NPI:1710575071
Name:HOYT, LEIA MARIE (RD)
Entity Type:Individual
Prefix:MRS
First Name:LEIA
Middle Name:MARIE
Last Name:HOYT
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3346 BIRCHBROOK DR
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-2418
Mailing Address - Country:US
Mailing Address - Phone:989-415-5012
Mailing Address - Fax:
Practice Address - Street 1:3346 BIRCHBROOK DR
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2418
Practice Address - Country:US
Practice Address - Phone:989-415-5012
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered