Individual
LAUREL WINTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LD
Contact information
Practice address
5401 FM 1626, KYLE, TX 78640-6038
(512) 268-7900
Mailing address
4710 ROUNDUP TRL, AUSTIN, TX 78745-1631
(860) 970-8985
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85183
TX
Other
Enumeration date
03/11/2019
Last updated
03/11/2019
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