Laurie J Wallace in Bakersfield - Dietitian, Registered

Laurie J Wallace - NPI 1316076367

Laurie J Wallace is a Dietitian, Registered in Bakersfield, California. Laurie J Wallace practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Laurie J Wallace is 1316076367. The last update date is 2022-09-14.

Laurie J Wallace's current location address is 9500 Stockdale Hwy Ste 203, Bakersfield, California. You can contact this provider via phone number 6615878110 and fax number 6615878220. The mailing address for Laurie J Wallace is 9500 Stockdale Hwy Ste 203, Bakersfield, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Laurie J Wallace
Address 9500 Stockdale Hwy Ste 203, Bakersfield, California
Phone Number 6615878110
Fax Number 6615878220
Sole Proprietor N
Credentials MS,RD,CDE

NPI Number Detail

NPI Number 1316076367
Provider Enumeration Date 2007-03-05
Last Updated Date 2022-09-14

Provider Mailing Address Detail

Address 9500 Stockdale Hwy Ste 203
City Bakersfield
State California (CA)
Post Code 933113621
Phone Number 6615878110
Fax Number 6615878220

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Definition:
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of

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FAQs about Laurie J Wallace

What is the unique provider identifier assigned to Laurie J Wallace?

The Laurie J Wallace has been issued the NPI (National Provider Identifier) 1316076367 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical location address where Laurie J Wallace's facilities are situated?

The facilities of Laurie J Wallace are physically located at the following address: 9500 Stockdale Hwy Ste 203, Bakersfield, CA, 933113621.

What is Laurie J Wallace's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Laurie J Wallace's specialized field of practice is Dietitian, Registered, and the corresponding taxonomy code that categorizes this area of specialization is 133V00000X.

On what date was the 1316076367 assigned to Laurie J Wallace?

The Laurie J Wallace was issued its 1316076367 on 2007-03-05, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Laurie J Wallace, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Laurie J Wallace, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-09-14.

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