Most Relevant Information
Provider Data
| NPI Number: | 1003530296 |
| Provider Name: | LAURIE MOLINA |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86031594 |
Most Important Dates
| Enumeration Date: | 09/30/2022 |
| Last Updated: | 11/18/2022 |
Provider Practice Location
13400 E SHEA BLVD
SCOTTSDALE
AZ
852595452
Practice Location Phone/Fax
| Phone: | 4803018000 |
| Fax: |
Provider Mailing Location
13400 E SHEA BLVD
SCOTTSDALE
AZ
852595452
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |