Individual
LAURA H BAIN BAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8450 DORSEY RUN RD, JESSUP, MD 20794-9486
(410) 724-3204
Mailing address
8450 DORSEY RUN RD, JESSUP, MD 20794-9486
(410) 724-3204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX6958
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1010687
COMMISSION ON DIETETIC REGISTRATION
GA
01
—
DX6958
MARYLAND DEPARTMENT OF HEALTH BOARD OF DIETETIC PRACTICE LICENSE
MD
Enumeration date
04/01/2026
Last updated
04/01/2026
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