Individual
LAURA WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1450 CHAPEL ST, NEW HAVEN, CT 06511-4405
(203) 789-5979
Mailing address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-2422
(203) 688-2141
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000441
CT
Other
Enumeration date
12/02/2008
Last updated
03/09/2021
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