Provider Demographics
NPI:1356582241
Name:VASBINDER, LAURA MICHAEL (RD, LDN, CDE)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:MICHAEL
Last Name:VASBINDER
Suffix:
Gender:F
Credentials:RD, LDN, CDE
Other - Prefix:MISS
Other - First Name:LAURA
Other - Middle Name:MICHAEL
Other - Last Name:IERACI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:821 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:TYRONE
Mailing Address - State:PA
Mailing Address - Zip Code:16686-1326
Mailing Address - Country:US
Mailing Address - Phone:814-686-0274
Mailing Address - Fax:
Practice Address - Street 1:2907 PLEASANT VALLEY BLVD
Practice Address - Street 2:JAMES E VANZANDT VA MEDICAL CENTER
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16602-4305
Practice Address - Country:US
Practice Address - Phone:814-943-8164
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000987133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered