Provider Demographics
NPI:1063037737
Name:AKERS, LAUREL DAWN (RD CSG LD)
Entity Type:Individual
Prefix:MS
First Name:LAUREL
Middle Name:DAWN
Last Name:AKERS
Suffix:
Gender:F
Credentials:RD CSG LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 MERCER AVE
Mailing Address - Street 2:
Mailing Address - City:HARRODSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40330-9291
Mailing Address - Country:US
Mailing Address - Phone:859-613-2495
Mailing Address - Fax:
Practice Address - Street 1:721 S PRESTON ST FL 1
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40203-2319
Practice Address - Country:US
Practice Address - Phone:502-584-3338
Practice Address - Fax:502-584-3380
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-09
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY124027133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal