Provider Demographics
NPI:1275966038
Name:KRAUS, LAURA PALAZZOLO (RD)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:PALAZZOLO
Last Name:KRAUS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1254 GAY ST
Mailing Address - Street 2:
Mailing Address - City:LONGMONT
Mailing Address - State:CO
Mailing Address - Zip Code:80501-3814
Mailing Address - Country:US
Mailing Address - Phone:914-262-7879
Mailing Address - Fax:
Practice Address - Street 1:1254 GAY ST
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-3814
Practice Address - Country:US
Practice Address - Phone:914-262-7879
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-15
Last Update Date:2018-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
01044290133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered