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Individual

MS. LAURA ANN WEBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSED, RD, IBCLC

Contact information

Practice address
8110 E RITA DR, SCOTTSDALE, AZ 85255-5406
(314) 799-3851
Mailing address
3443 HAWTHORNE BLVD, SAINT LOUIS, MO 63104-1622
(314) 799-3851

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2017011597
MO
133V00000X
Registered Dietitian
893600
AZ
174N00000X
Lactation Consultant (Non-RN)
L-47496
AZ
174N00000X
Lactation Consultant (Non-RN)
L-47496
MO

Other

Enumeration date
05/20/2015
Last updated
05/06/2020
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