Individual
LAURIE ANN FLAGG INACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
59 MDTS/SGVDD, 2200 BERGQUIST DRIVE, STE 1, LACKLAND AIR FORCE BASE, TX 78236
(210) 292-6512
Mailing address
9931 HYATT RESORT DR APT 1721, SAN ANTONIO, TX 78251-4181
(702) 513-3060
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ADA 861579
—
Other
Enumeration date
12/27/2006
Last updated
07/23/2009
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