Individual
MS. LAURA MAY HUBBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD,LD
Contact information
Practice address
1020 E RAY RD STE 5, CHANDLER, AZ 85225-1502
(480) 677-8282
(844) 470-2777
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT06571
TX
363A00000X
Physician Assistant
Primary
6068
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034437
—
AZ
Enumeration date
03/22/2006
Last updated
01/13/2025
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