Provider Demographics
NPI:1194981795
Name:LEMAN, JENNIFER KARA (RD, LD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KARA
Last Name:LEMAN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 200028
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78720-0028
Mailing Address - Country:US
Mailing Address - Phone:512-351-7597
Mailing Address - Fax:512-351-7597
Practice Address - Street 1:12212 BRIGADOON LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78727-5355
Practice Address - Country:US
Practice Address - Phone:512-351-7597
Practice Address - Fax:512-351-7597
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-03
Last Update Date:2008-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT07345133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered