Individual provider · NPI-1

Laurie Burton-Grego, MS, RD, CDN

Dietitian, Registered · Albany, NY

NPI number1295736478
StatusActive
Last updated in NPPESJan 31, 2018

Details

NPI
1295736478
Entity type
Individual (NPI-1)
Name
Mrs. Laurie Burton-Grego
Credential
MS, RD, CDN
Sex
Female
Sole proprietor
No
Enumeration date
Aug 10, 2005
Last updated
Jan 31, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered005085NYYes

Practice location

501 New Karner Rd
Suite 1a
Albany, NY 12205-3882

Phone 518-452-1337 · Fax 518-724-6660

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461

Phone 518-782-3700 · Fax 518-782-3799

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