Individual
MRS. LAURIE ELLEN SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2250 STANLEY RD, ATTN MCCS-CA, SUITE 276A, FORT SAM HOUSTON, TX 78234-2640
(210) 221-6119
(210) 221-8360
Mailing address
15019 OAK BRIAR, SAN ANTONIO, TX 78232-5497
(630) 699-8519
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT05477
TX
Other
Enumeration date
05/03/2006
Last updated
07/11/2008
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