Active NPIIndividual providerSole proprietor

Mrs. Leslie K Soran, NUTRITIONIST

Dietitian, Registered in South Windsor, Connecticut

NPI Number1417666462
Practice location
35 Mara Trl, South Windsor, CT 06074-2254
Fax
—
Last updated
June 13, 2023

Leslie Keyes Soran is a Dietitian, Registered based in South Windsor, CT. Leslie Keyes Soran practices in South Windsor, CT and has the professional credentials of NUTRITIONIST. The NPI Number for Leslie Keyes Soran is 1417666462. The current practice location address for Leslie Keyes Soran is 35 Mara Trl, South Windsor, CT 06074-2254 and can be reached out via phone at 203-915-3814.

Provider Profile Details

NPI Number
1417666462
Provider Name
Leslie Keyes Soran
Credential
NUTRITIONIST
Provider Entity Type
Individual
Gender
Female
Address
35 Mara Trl, South Windsor, CT 06074-2254
Phone Number
203-915-3814
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 18, 2022
Last Update Date
June 13, 2023
Certification Date
June 13, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
35 Mara Trl
South Windsor, CT 06074-2254
Zip
06074-2254
Phone Number
203-915-3814
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
35 Mara Trl
South Windsor, CT 06074-2254
City
South Windsor
State
CT
Zip
06074-2254
Phone Number
203-915-3814

License Information

Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Leslie K Soran, NUTRITIONIST?

The NPI number of Mrs. Leslie K Soran, NUTRITIONIST is 1417666462. It was assigned on November 18, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Leslie K Soran, NUTRITIONIST?

Mrs. Leslie K Soran, NUTRITIONIST is registered under the primary taxonomy Dietitian, Registered (code 133V00000X).

Where does Mrs. Leslie K Soran, NUTRITIONIST practice?

The practice location is 35 Mara Trl, South Windsor, CT 06074-2254. The office can be reached at 203-915-3814 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1417666462 directly on the NPPES registry website.

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