Laraine Dell Walters RD LD

NPI 1780625517 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1780625517
Gender Female
Enumeration Date 06/10/2006
Last Updated 05/15/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
26799 OWENS DR
LEBANON MO, 65536-9380, US
Phone (417) 532-9411
Fax
Business Location
26799 OWENS DR
LEBANON MO, 65536-9380, US
Phone (417) 532-9411
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Missouri
License Number 2005030875
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According to our database, Mrs. Laraine Dell Walters RD LD NPI is 1780625517, taxonomy code is 133V00000X and license number is 2005030875, license state is located at Missouri. Laraine Dell Walters RD LD physically located at 26799 Owens Dr, Lebanon MO, 65536-9380. NPI Number Laraine Dell Walters RD LD has the Individual type.

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1780625517 NPI number is provided on an as is basis without warranty of any kind. 1780625517 is maintained by the National Plan & Provider Enumeration System. The contents of Laraine Dell Walters RD LD are for informational purposes only.