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Individual

LAURA DYCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSRD

Contact information

Practice address
111 W STONE DR STE 310, KINGSPORT, TN 37660-6030
(423) 398-7024
(423) 398-7031
Mailing address
1021 W OAKLAND AVE STE 310, JOHNSON CITY, TN 37604-2192
(423) 302-6565

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
LDN0000001303
TN
133V00000X
Registered Dietitian
Primary
LDN0000001303
TN

Other

Enumeration date
11/12/2008
Last updated
08/09/2024
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