Individual
LAURA WENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 223-4511
Mailing address
4609 FIELDMOOR DR, LEXINGTON, KY 40515-1538
(860) 917-9718
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2317
KY
Other
Enumeration date
05/05/2016
Last updated
05/05/2016
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