Individual
LAURA JEAN HOLVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1045 W STEPHENSON ST, FREEPORT, IL 61032-4864
(815) 599-6677
Mailing address
3652 MAYER RD, BROWNTOWN, WI 53522-9604
(608) 439-1981
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
IL
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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