Laurel Mackenzie RDN, LDN, CDE

NPI 1780085290 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1780085290
Gender Female
Enumeration Date 09/16/2014
Last Updated 09/16/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
628 E 12TH ST
WASHINGTON NC, 27889-3409, US
Phone (252) 948-4933
Fax
Business Location
628 E 12TH ST
WASHINGTON NC, 27889-3409, US
Phone (252) 948-4933
Fax
Toxanomy
Taxonomy Code 133V00000X
License State North Carolina
License Number L002341
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According to our database, Laurel Mackenzie RDN, LDN, CDE NPI is 1780085290, taxonomy code is 133V00000X and license number is L002341, license state is located at North Carolina. Laurel Mackenzie RDN, LDN, CDE physically located at 628 E 12th St, Washington NC, 27889-3409. NPI Number Laurel Mackenzie RDN, LDN, CDE has the Individual type.

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1780085290 NPI number is provided on an as is basis without warranty of any kind. 1780085290 is maintained by the National Plan & Provider Enumeration System. The contents of Laurel Mackenzie RDN, LDN, CDE are for informational purposes only.