Individual
LAURA M VANDENBERGHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 SKAGGS RD STE 301, BRANSON, MO 65616-2062
(417) 334-8288
Mailing address
101 SKAGGS RD STE 301, BRANSON, MO 65616-2062
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
2026011838
MO
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/02/2026
Last updated
03/16/2026
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