Most Relevant Information
Provider Data
| NPI Number: | 1003348020 |
| Provider Name: | LAURA JOSEPH DIETITIAN |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | DT84350 |
Most Important Dates
| Enumeration Date: | 03/29/2017 |
| Last Updated: | 03/29/2017 |
Provider Practice Location
110 S 12TH ST
WACO
TX
767011810
Practice Location Phone/Fax
| Phone: | 2547523451 |
| Fax: | 2547563133 |
Provider Mailing Location
PO BOX 890
WACO
TX
767030890
Provider Mailing Phone/Fax
| Phone: | 2547523451 |
| Fax: | 2547563133 |