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NPI Code Detail

MEDICARE: LAURA FAUCHEUX RDN, LDN

MEDICARE: LAURA FAUCHEUX RDN, 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
1133V00000XRegistered Dietitian956LA

General Provider Information

NPI Number : 1295133445
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA FAUCHEUX RDN, LDN
Provider Business Mailing Address
First Line : 1097 NORTHWEST BLVD
Second Line :
City : FRANKLIN
State : LA
Zip : 70538-3407
Country : US
Telephone Number : 337-355-1269
Fax Number : 337-828-6378
Provider Business Practice Location Address
First Line : 1097 NORTHWEST BLVD
Second Line :
City : FRANKLIN
State : LA
Zip : 70538-3407
Country : US
Telephone Number : 337-355-1269
Fax Number : 337-828-6378
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2014
Last Update Date : 12/19/2014

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