Individual
LAURA GASTON GILLIKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1700 CREEKSIDE LN, AUBURN, AL 36830-3076
(251) 455-4513
Mailing address
1700 CREEKSIDE LN, AUBURN, AL 36830-3076
(251) 455-4513
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.011046
IL
133V00000X
Registered Dietitian
Primary
3018
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1487449187
NPI 2
—
Enumeration date
06/06/2019
Last updated
04/12/2025
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