Individual
LAURA BORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1010 E GORHAM ST APT 2, MADISON, WI 53703-1769
(262) 366-5750
Mailing address
1010 E GORHAM ST APT 2, MADISON, WI 53703-1769
(262) 366-5750
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2797
WI
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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