Individual
LAURA BETH ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4142
Mailing address
4199 GATEWAY BLVD, NEWBURGH, IN 47630-8940
(812) 842-4142
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002447A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37002447A
IN STATE LICENSE
IN
Enumeration date
11/16/2021
Last updated
11/16/2021
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