Individual
LAURA HICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
4035 MILANO LN, LONGMONT, CO 80503-8986
(303) 435-3274
Mailing address
4035 MILANO LN, LONGMONT, CO 80503-8986
(303) 435-3274
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
873000
REGISTERED DIETITIAN -COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
07/07/2016
Last updated
08/24/2016
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