Bannock, Laurent Graham

Bannock, Laurent Graham is an individual health care provider with primary practice located at 3600 Cerrillos Rd Suite 207C, Santa Fe NM 87507-2612. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as his primary health care specialty. Bannock, Laurent Graham can be contacted via phone (505) 982-8475.

Contact Information

Primary practice address
3600 Cerrillos Rd Suite 207C Santa Fe NM 87507-2612
Phone: (505) 982-8475
Fax: (505) 989-7865
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X P-0037 New Mexico

Profile Details

NPI number 1952411092
LBN Legal business name Bannock, Laurent Graham
Credentials DHSC LN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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