Individual
MRS. LAURA LYNNE LAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D
Contact information
Practice address
2511 STEPHENS GRANT DR, SUGAR LAND, SUGAR LAND, TX 77479-2245
(281) 980-2650
Mailing address
2511 STEPHENS GRANT DR, SUGAR LAND, SUGAR LAND, TX 77479-2245
(281) 980-2650
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT00597
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT00597
TX
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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