Individual
DANA GODBOUT LAAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
11224 ORLEANS WAY, KENSINGTON, MD 20895-1041
(301) 942-5505
Mailing address
11224 ORLEANS WAY, KENSINGTON, MD 20895-1041
(301) 942-5505
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NOO217
MD
Other
Enumeration date
07/19/2007
Last updated
07/19/2007
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