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NPI Code Detail

MEDICARE: MS. LAURIE ALLEN MHA,RD,LDN

MEDICARE: MS. LAURIE ALLEN MHA,RD,LDN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133N00000XNutritionist425LA

General Provider Information

NPI Number : 1114732708
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LAURIE ALLEN MHA,RD,LDN
Provider Business Mailing Address
First Line : 1912 BULLARD AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70003-4918
Country : US
Telephone Number : 985-502-1149
Fax Number :
Provider Business Practice Location Address
First Line : 1912 BULLARD AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70003-4918
Country : US
Telephone Number : 985-502-1149
Fax Number : 504-584-8268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2025
Last Update Date : 02/11/2025

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