Individual
LAURA CUNNINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.S.P., L.D.N.
Contact information
Practice address
1800 ORLEANS ST, BLOOMBERG 9306, BALTIMORE, MD 21287-0010
(410) 955-5177
Mailing address
1800 ORLEANS ST, BLOOMBERG 9306, BALTIMORE, MD 21287-0010
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DX3256
MD
133V00000X
Registered Dietitian
Primary
DX3256
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DX3256
MARYLAND BOARD OF DIETETIC PRACTICE
MD
Enumeration date
08/08/2014
Last updated
08/08/2014
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