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Organization

ILIVEWELL NUTRITION THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA KREBS-HOLM RD (DIETITIAN)
(512) 789-8400
Entity
Organization

Contact information

Practice address
2001 PARKER LN APT 106, AUSTIN, TX 78741-3844
(512) 789-8400
Mailing address
2001 PARKER LN APT 106, AUSTIN, TX 78741-3844
(512) 789-8400

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86047572
TX

Other

Enumeration date
10/14/2013
Last updated
10/14/2013
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