Laura Reavis MS, RD, LDN

NPI 1780001537 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1780001537
Gender Female
Enumeration Date 03/18/2014
Last Updated 03/18/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
301 E WENDOVER AVE
SUITE 415
GREENSBORO NC, 27401-1230, US
Phone (336) 382-3238
Fax
Business Location
301 E WENDOVER AVE
SUITE 415
GREENSBORO NC, 27401-1230, US
Phone (336) 382-3238
Fax
Toxanomy
Taxonomy Code 133V00000X
License State North Carolina
License Number L003459
Remove 1780001537 NPI Number
 

According to our database, Laura Reavis MS, RD, LDN NPI is 1780001537, taxonomy code is 133V00000X and license number is L003459, license state is located at North Carolina. Laura Reavis MS, RD, LDN physically located at 301 E Wendover Ave, Greensboro NC, 27401-1230. NPI Number Laura Reavis MS, RD, LDN has the Individual type.

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1780001537 NPI number is provided on an as is basis without warranty of any kind. 1780001537 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Reavis MS, RD, LDN are for informational purposes only.