Individual
MRS. LAURA ELIZABETH DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSP, LD
Contact information
Practice address
411 E CHESTNUT ST # 5A6B, LOUISVILLE, KY 40202-1713
(502) 588-4940
(502) 588-7712
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
246261
KY
133VN1004X
Pediatric Nutrition Registered Dietitian
913115
IN
Other
Enumeration date
09/25/2020
Last updated
08/27/2021
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