Provider Demographics
NPI:1679732010
Name:POSTIN, LAURA CELESTE (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:CELESTE
Last Name:POSTIN
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 N WOLFE ST
Mailing Address - Street 2:PEDIATRIC GI/NUTRITION - BRADY 301
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21287-0005
Mailing Address - Country:US
Mailing Address - Phone:410-955-5177
Mailing Address - Fax:410-502-9029
Practice Address - Street 1:600 N WOLFE ST
Practice Address - Street 2:PEDIATRIC GI/NUTRITION - BRADY 301
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21287-0005
Practice Address - Country:US
Practice Address - Phone:410-955-5177
Practice Address - Fax:410-502-9029
Is Sole Proprietor?:No
Enumeration Date:2008-06-02
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX2768133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered