Individual
LAUREL DIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
24 VETERANS SQ, MEDIA, PA 19063-3155
(610) 783-3600
Mailing address
3131 TIMMONS LN APT 3121, HOUSTON, TX 77027-6082
(512) 633-1512
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT85116
TX
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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