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Provider Information for 1649655721

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

LAURA MORETTI MS RD CSSD LDN

Gender: FEMALE

Individual NPI: 1649655721

Calendar   Last Updated:  2015-07-30
  Certification Date: 

Details

Name Value
NPI 1649655721
Enumeration Date 2015-07-30
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 20 HOPE AVE STE G10
WALTHAM, MA 02453-2717
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 20 HOPE AVE STE G10
WALTHAM, MA 02453-2717
United States

Phone: 973-650-1353 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 133V00000X - Dietitian, Registered NY 1040317