Provider Demographics
NPI:1699836098
Name:HARDING LAIDLAW, SARAH E (RD, CDE)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:E
Last Name:HARDING LAIDLAW
Suffix:
Gender:F
Credentials:RD, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15773 6000 RD
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81403-9637
Mailing Address - Country:US
Mailing Address - Phone:970-216-2356
Mailing Address - Fax:
Practice Address - Street 1:1045 RAPTOR CIR
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:NV
Practice Address - Zip Code:89027-8828
Practice Address - Country:US
Practice Address - Phone:702-346-7968
Practice Address - Fax:702-346-9031
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2018-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ILR415321133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVV37556Medicare ID - Type UnspecifiedID ISSUED PRIOR TO 2003