Laura Ann Jacob, R.D.

NPI #1144427857 in Champaign, Illinois

Provider Information

NPI Number: 1144427857
Entity Type: Individual
Name: Laura Ann Jacob, R.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Jun 27, 2007
Last Updated: May 29, 2024

Practice Location

Address: 1801 W WINDSOR RD
City: Champaign
State: Illinois
ZIP Code: 61822-6217
Phone: (217) 366-8144

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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