Individual
LAURA LYNN IACONO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD CDN
Contact information
Practice address
2004 HAYES ST STE 545, NASHVILLE, TN 37203-2655
(629) 401-4494
Mailing address
170 E MAIN ST STE D127, HENDERSONVILLE, TN 37075-2587
(615) 854-3243
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
001919
NY
133NN1002X
Nutrition Education Nutritionist
001919
NY
133V00000X
Registered Dietitian
Primary
3950
TN
133VN1004X
Pediatric Nutrition Registered Dietitian
834048
IL
Other
Enumeration date
05/09/2007
Last updated
11/25/2025
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