Mangum, Laura

Mangum, Laura is an sole proprietor health care provider with primary practice located at 15808 Hwy 620 North Suite 100, Austin TX 78717. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mangum, Laura can be contacted via phone (512) 731-8679.

Contact Information

Primary practice address
15808 Hwy 620 North Suite 100 Austin TX 78717
Phone: (512) 731-8679
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DT05397 Texas

Profile Details

NPI number 1255543989
LBN Legal business name Mangum, Laura
Credentials R.D., L.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 4th, 2007
Last updated Jul 8th, 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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