Individual
MS. LAURA FORESTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
732 HARRISON AVE, PRESTON FAMILY BLD, 2ND FL, BOSTON, MA 02118-2309
(617) 414-8037
(617) 638-7449
Mailing address
50 S GATE PARK, WEST NEWTON, MA 02465-1616
(617) 969-7661
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2188
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2188
LDN LICENSE NO
MA
Enumeration date
09/25/2006
Last updated
07/08/2007
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