Individual
LAURA LEE BROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1708 E 44TH ST, TACOMA, WA 98404-4611
(253) 471-4561
Mailing address
1019 PACIFIC AVE, STE 300, TACOMA, WA 98402-4443
(253) 722-1540
(253) 722-1546
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI00001542
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8384034
—
WA
Enumeration date
01/17/2007
Last updated
06/06/2012
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