IndividualActive
Laura Baum
NPI 1417509159 · Nutritionist · Raleigh, NC
Provider details
- NPI number
- 1417509159
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- L005791 (NC)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
8801 Fast Park Dr Ste 211
Raleigh, NC 27617-4853
Phone: (919) 442-8398
Approximate (ZIP-level) locationGet directions
Mailing address
1005 W Main St Apt 142
Durham, NC 27701-1363
Registry dates
- Enumerated
- 2019-07-12
- Last updated
- 2019-12-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.