Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Laurent Graham Bannock, DHSCLN

Individual provider Nutritionist · NPI 1952411092

Dr. Laurent Graham Bannock, DHSCLN is a Nutritionist in Santa Fe, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
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Practice location Address checks out

3600 Cerrillos Rd Ste 207C
Santa Fe, NM 87507-2612
Phone: (505) 982-8475
Fax: (505) 989-7865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nutritionist (primary) Taxonomy 133N00000X · Licence P-0037 (NM)

Record details

NPI number1952411092
Entity typeIndividual (Type 1)
GenderMale
Credentials DHSCLN
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007

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