Individual
LAURA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC, RDN, LDN
Contact information
Practice address
15948 FREDERICK RD, WOODBINE, MD 21797-8526
(240) 221-1979
Mailing address
4112 BOTELER RD, MOUNT AIRY, MD 21771-7308
(410) 245-9584
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DX2518
MD
171100000X
Acupuncturist
Primary
U02945
MD
Other
Enumeration date
01/22/2021
Last updated
08/16/2022
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