Laura Walker Justice, MS, RD, LDN
Dietitian, Registered in Charlotte, NC. Individual provider (NPI-1).
NPI number1164081865
StatusActive
Last updated in NPPESJun 15, 2021
Details
- NPI
- 1164081865
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Laura Walker Justice
- Credential
- MS, RD, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2019
- Certification date
- Jun 15, 2021
- Last updated
- Jun 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | L004924 | NC | Yes |
Practice location
125 Queens Rd Ste 330Charlotte, NC 28204-3215
Phone 704-384-5043 · Fax 704-384-8895
Mailing address
Po Box 60447Charlotte, NC 28260-0447
Phone 704-384-5043 · Fax 704-384-8895
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