Ivy, Laura Ann

Ivy, Laura Ann is an individual health care provider with primary practice located at 510 E Stoner Ave , Shreveport LA 71101-4243. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Ivy, Laura Ann can be contacted via phone (318) 221-8411.

Contact Information

Primary practice address
510 E Stoner Ave Shreveport LA 71101-4243
Phone: (318) 221-8411
Fax: (318) 429-5724
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 884597 Louisiana

Profile Details

NPI number 1063480366
LBN Legal business name Ivy, Laura Ann
Credentials LDN RD
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Jul 12th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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