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Individual

LAURA YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1024 S LEMAY AVE, FORT COLLINS, CO 80524-3929
(970) 495-8205
Mailing address
6801 W 20TH ST, GREELEY, CO 80634-9637
(970) 378-8000

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
984293
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
984293
STATE LICENSE
CO
Enumeration date
01/22/2019
Last updated
04/05/2023
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