Provider Demographics
NPI:1992479828
Name:MAY, LEAH R (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:LEAH
Middle Name:R
Last Name:MAY
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 LINCOLNSHIRE RD
Mailing Address - Street 2:
Mailing Address - City:GAHANNA
Mailing Address - State:OH
Mailing Address - Zip Code:43230-2321
Mailing Address - Country:US
Mailing Address - Phone:330-988-8790
Mailing Address - Fax:
Practice Address - Street 1:1105 SCHROCK RD STE 505
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43229-1181
Practice Address - Country:US
Practice Address - Phone:614-643-8024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-04
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLD.09328133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered