Individual
LAURA WARD GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2308 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4546
(512) 469-7676
Mailing address
2308 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4546
(512) 469-7676
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT07171
TX
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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