Provider Demographics
NPI:1952168106
Name:LEA, DEBORAH (MS RD)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:
Last Name:LEA
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8722 MAGNOLIA FOREST DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-6967
Mailing Address - Country:US
Mailing Address - Phone:281-704-2830
Mailing Address - Fax:
Practice Address - Street 1:904 FM 359 RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-2010
Practice Address - Country:US
Practice Address - Phone:281-704-2830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-04
Last Update Date:2024-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education