Individual
LAURA LEE WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
118 HAMBY RD, DOBSON, NC 27017-8471
(336) 401-8400
Mailing address
1427 OLD ORCHARD LOOP, STUART, VA 24171-3618
(434) 660-1659
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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