Individual
LAURA DANIEL OGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1121 WASHINGTON ST, SUITE 4, WEST NEWTON, MA 02465-2149
(617) 964-1716
Mailing address
6 FOREST AVE, WEST NEWTON, MA 02465-2504
(617) 969-9441
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
561
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LD0089
BCBS LDN NETWORK
MA
Enumeration date
04/25/2007
Last updated
07/08/2007
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