Individual
LAURA MARY MANIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1520 SUDAY DRIVE, STE 309, RALEIGH, NC 27607-1000
(919) 354-7077
Mailing address
10208 CERNY ST STE 301, RALEIGH, NC 27617-1000
(919) 354-7077
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005878
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86148003
COMMISSION OF DIETETIC REGISTRATION
—
01
—
L005878
LICENSED DIETITIAN/NUTRITIONIST NC
NC
Enumeration date
01/24/2022
Last updated
05/08/2025
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