LAURA ANN IVY

SHREVEPORT, LA
NPI1063480366
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: LA  884597)
Enumeration Date2006-03-10
Last Update Date2007-07-12
Business Address
-- LAURA ANN IVY LDN RD
510 E STONER AVE
SHREVEPORT, LA 71101-4243
Phone number: 318-221-8411
Mailing Address
-- LAURA ANN IVY LDN RD
4111 PINES RD
SHREVEPORT, LA 71119-7315
Phone number: 318-631-4109
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