IndividualActive
Lawrence Wilson
NPI 1528362662 · Nutrition Education Nutritionist · Prescott, AZ
Provider details
- NPI number
- 1528362662
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dietary & Nutritional Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4950 S Indian Creek Rd
Prescott, AZ 86303-6180
Phone: (928) 445-7690
Street-level locationGet directions
Mailing address
Po Box 54
Prescott, AZ 86302-0054
Registry dates
- Enumerated
- 2011-01-04
- Last updated
- 2011-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.