Provider Demographics
NPI:1538300371
Name:LAGANO, LAURA W (RD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:W
Last Name:LAGANO
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 1:931 BLOOMFIELD ST
Mailing Address - Street 2:
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-5107
Mailing Address - Country:US
Mailing Address - Phone:917-829-0250
Mailing Address - Fax:201-963-5764
Practice Address - Street 1:931 BLOOMFIELD ST
Practice Address - Street 2:
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-5107
Practice Address - Country:US
Practice Address - Phone:917-829-0250
Practice Address - Fax:201-963-5764
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered