Individual
MS. LAURA MICHELLE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4893
(857) 364-6969
Mailing address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4893
(857) 364-6969
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86060415
—
Other
Enumeration date
03/15/2018
Last updated
09/17/2019
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