Individual
LAURA MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
6658 GOEDDELTOWN RD, WATERLOO, IL 62298-2638
(618) 401-2206
Mailing address
6658 GOEDDELTOWN RD, WATERLOO, IL 62298-2638
(618) 401-2206
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164.007067
IL
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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