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Individual
LAURIE A SCHWANENBERGER
Active
Individual
LAURIE A SCHWANENBERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
804775
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162704
—
AZ
Enumeration date
12/01/2006
Last updated
07/14/2010
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