Individual
LAURIE MILLER MARCRUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1776 INDEPENDENCE CT, SUITE 304, VESTAVIA, AL 35216-1229
(205) 368-4649
Mailing address
1776 INDEPENDENCE CT, SUITE 304, VESTAVIA, AL 35216-1229
(205) 368-4649
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
873
AL
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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