Individual
MRS. LAURA GRAY CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
400 E TICKLE ST, DYERSBURG, TN 38024-3120
(731) 287-2469
Mailing address
1207 RASPBERRY RD, TROY, TN 38260-5268
(731) 446-8828
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDN0000001955
TN
Other
Enumeration date
11/19/2013
Last updated
11/19/2013
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