DR. Laurent Graham Bannock, DHSC LN
NPI #1952411092 in Santa Fe, New Mexico
Provider Information
- NPI Number
- 1952411092
- Entity Type
- Individual
- Name
- DR. Laurent Graham Bannock, DHSC LN
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nutritionist
- Credential
- DHSC LN
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 3600 CERRILLOS RD
- Address 2
- SUITE 207C
- City
- Santa Fe
- State
- New Mexico
- ZIP Code
- 87507-2612
- Phone
- (505) 982-8475
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist |
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