| Doctor Name: | LAURA LYNN JORDAN |
| NPI Number: | 1356536221 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD, CD |
| License Number: | 37001768A |
| Business Practice Address: | 534 N Michigan St South Bend, IN - 466011032 |
| Business Phone Number: | 5746471396 |
| Business Fax Number: | 5746476635 |
| Mailing Address: | 534 N Michigan St, SOUTH BEND |
| State: | IN |
| Postal Code: | 466011032 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2007 |
| NPI Last Update Date: | 08/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 37001768A |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IN |
| 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 |