Laura Jane Mamerow, RD
NPI #1073021820 in Oconomowoc, Wisconsin
Provider Information
- NPI Number
- 1073021820
- Entity Type
- Individual
- Name
- Laura Jane Mamerow, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Jan 15, 2018
- Last Updated
- Apr 30, 2021
Practice Location
- Address
- W2312 W SCHURE DR
- City
- Oconomowoc
- State
- Wisconsin
- ZIP Code
- 53066-9322
- Phone
- (920) 470-7374
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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