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Individual

LAURA CHRISTINE RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, CDE

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3055
MN
133V00000X
Registered Dietitian
763
ND
133V00000X
Registered Dietitian

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000298908
BCBS PIN
MT
05
0280823
MT
Enumeration date
07/10/2006
Last updated
03/15/2013
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