Individual
LAURA E. MATARESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RD, LDN
Contact information
Practice address
521 MOYE BLVD, GREENVILLE, NC 27834-2849
(252) 744-1400
(252) 744-2899
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
L003852
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1676J
BCBSNC
NC
Enumeration date
09/29/2011
Last updated
07/08/2025
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