Individual
LAURA FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
7 E GEORGIA AVE, APT 301, MEMPHIS, TN 38103-1568
(901) 523-8990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
0000002996
TN
Other
Enumeration date
02/24/2017
Last updated
02/24/2017
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