Individual
LAURA KATHERINE BELTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86076242
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4432
COMM. OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
01
—
86076242
COMMISSION ON DIETETIC REGISTRATION-ACADEMY OF NUTRITION AND DIETETICS
—
Enumeration date
01/16/2018
Last updated
01/16/2018
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