Provider Demographics
NPI:1417559485
Name:PILARSKI, LAURA ANN (RD, CDCES)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:ANN
Last Name:PILARSKI
Suffix:
Gender:F
Credentials:RD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5265 2 MILE RD
Mailing Address - Street 2:
Mailing Address - City:BAY CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48706-3071
Mailing Address - Country:US
Mailing Address - Phone:989-992-4131
Mailing Address - Fax:
Practice Address - Street 1:5265 2 MILE RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-3071
Practice Address - Country:US
Practice Address - Phone:989-992-4131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2020-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI885973133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered