Individual
LAURA MCCAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1105 SIXTH ST, MUNSON MEDICAL CENTER, FOOD & NUTRITION, TRAVERSE CITY, MI 49684-2349
(231) 935-7513
Mailing address
1105 SIXTH ST, MUNSON MEDICAL CENTER, FOOD & NUTRITION, TRAVERSE CITY, MI 49684-2349
(231) 935-7513
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N68170004
MEDICARE PART B
MI
Enumeration date
04/22/2016
Last updated
04/22/2016
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