Individual
LAURA KATHERINE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2397
(254) 724-5473
Mailing address
PO BOX 844658, DALLAS, TX 75284-2965
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT86207
TX
Other
Enumeration date
01/26/2022
Last updated
04/07/2022
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