Mixter, Laurie
Mixter, Laurie is an sole proprietor health care provider with primary practice located at 15644 Pomerado Rd Suite 304, Poway CA 92064-2400. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist is her primary health care specialty. Mixter, Laurie can be contacted via phone (760) 315-1555.Contact Information
Primary practice address
15644 Pomerado Rd Suite 304
Poway CA 92064-2400
Phone: (760) 315-1555
Fax: (760) 788-1659
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 887748 | California |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | CMT 735 | California |
Profile Details
NPI number | 1013134121 |
---|---|
LBN Legal business name | Mixter, Laurie |
Credentials | MS, RD, HHP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 19th, 2007 |
Last updated | Nov 13th, 2013 - about 12 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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