Individual
LAURIE ANN SCOPPETTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
482 N AVIATION BLVD, EL SEGUNDO, CA 90245
(310) 653-1110
Mailing address
733 30TH ST, HERMOSA BEACH, CA 90254-2213
(860) 918-1404
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86143976
MA
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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