IndividualActive
Laurent Bannock, DHSC LN
NPI 1952411092 · Nutritionist · Santa Fe, NM
Provider details
- NPI number
- 1952411092
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Credential
- DHSC LN
- Sex
- Male
- Sole proprietor
- No
- License
- P-0037 (NM)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
3600 Cerrillos Rd
Suite 207c
Santa Fe, NM 87507-2612
Phone: (505) 982-8475
Fax: (505) 989-7865
Approximate (ZIP-level) locationGet directions
Mailing address
9 Cerrado Dr
Santa Fe, NM 87508-8234
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.