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Organization

LAURA ROSE FUNCTIONAL NUTRITION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA DRAGON MS, RD, LDN (OWNER)
(607) 743-6253
Entity
Organization

Contact information

Practice address
4751 MOUNT ROYAL LN, CHARLOTTE, NC 28210-4690
(607) 743-6253
(704) 259-4120
Mailing address
4751 MOUNT ROYAL LN, CHARLOTTE, NC 28210-4690
(607) 743-6253
(704) 259-4120

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
12/29/2025
Last updated
12/29/2025
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