Provider Demographics
NPI:1609279785
Name:MEISER, LAURA (RD)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:
Last Name:MEISER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:WAHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:REGISTERED DIETITIAN
Mailing Address - Street 1:2732 W MICHIGAN ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46222-3750
Mailing Address - Country:US
Mailing Address - Phone:317-554-4600
Mailing Address - Fax:317-554-4617
Practice Address - Street 1:2732 W MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46222-3750
Practice Address - Country:US
Practice Address - Phone:317-554-4600
Practice Address - Fax:317-554-4617
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-02
Last Update Date:2021-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37002403A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered