Individual
LAURA SHORES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
705 HIGHWAY 63 N, HAZEN, AR 72064
(870) 255-3696
(870) 255-4061
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
(870) 347-2023
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1331
AR
Other
Enumeration date
04/26/2017
Last updated
06/06/2018
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