Individual
BRENT LAESCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD, LD.
Contact information
Practice address
2063 E LEMON ST APT 3001, TEMPE, AZ 85281-4881
(918) 630-2245
Mailing address
2063 E LEMON ST APT 3001, TEMPE, AZ 85281-4881
(918) 630-2245
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1827
AZ
133V00000X
Registered Dietitian
Primary
1827
OK
Other
Enumeration date
10/28/2014
Last updated
01/23/2026
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