Doctor Name: | LAURIE MIXTER |
NPI Number: | 1013134121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, HHP |
License Number: | 887748 |
Business Practice Address: | 15644 Pomerado Rd Suite 304 Poway, CA - 920642400 |
Business Phone Number: | 7603151555 |
Business Fax Number: | 7607881659 |
Mailing Address: | 15644 Pomerado Rd, Suite 304 POWAY |
State: | CA |
Postal Code: | 920642400 |
Phone Number: | 7603151555 |
Fax Number: | |
NPI Enumeration Date: | 04/19/2007 |
NPI Last Update Date: | 11/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 887748 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |