Individual
MS. LAURA KNOBLAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-6500
Mailing address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-6500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000389A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37000389A
STATE CERTIFICATION NUMBER
IN
Enumeration date
02/18/2009
Last updated
02/18/2009
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