Provider Demographics
NPI:1942771985
Name:FOSTER, LAURA L (MSN, RDN)
Entity Type:Individual
Prefix:
First Name:LAURA
Middle Name:L
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MSN, RDN
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:L
Other - Last Name:WOODWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:3821 HOFFMAN CT SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-3278
Mailing Address - Country:US
Mailing Address - Phone:803-312-4224
Mailing Address - Fax:
Practice Address - Street 1:3821 HOFFMAN CT SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-3278
Practice Address - Country:US
Practice Address - Phone:803-312-4224
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2024-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1105444133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered