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Individual

SOPHIA ALEXANDRA LAIRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RDN

Contact information

Practice address
1355 W WASHINGTON BLVD STE A, CHICAGO, IL 60607-1960
(823) 331-2585
Mailing address
4000 KAYWOOD CT, BEE CAVE, TX 78738-5000
(512) 925-1525

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
11946850
TX

Other

Enumeration date
08/10/2024
Last updated
08/10/2024
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