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Individual

MRS. LAURA ANN IPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
801 E LASALLE AVE, SOUTH BEND, IN 46617-2814
(574) 237-7544
(574) 472-6227
Mailing address
801 E LASALLE AVE, SOUTH BEND, IN 46617-2814
(574) 237-7544
(574) 472-6227

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37000194A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
570625
ADA/CDR REGISTRATION #
Enumeration date
11/01/2006
Last updated
07/09/2007
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