Individual
LAURIE ELIZABETH CARLTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1598 HERMITAGE RD, JACKSON, MO 63755-2457
(618) 604-7434
Mailing address
1598 HERMITAGE RD, JACKSON, MO 63755-2457
(618) 604-7434
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2011032591
MO
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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