Individual
LAURA LYNN JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
100 NAVARRE PL STE 5550, SOUTH BEND, IN 46601-1169
(574) 647-2550
(574) 647-1129
Mailing address
3245 HEALTH DR., SUITE 100, GRANGER, IN 46530-3245
(547) 647-1840
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001768A
IN
Other
Enumeration date
09/13/2007
Last updated
05/01/2023
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