Provider Demographics
NPI:1871890418
Name:HAND, LAURA LEE (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:LEE
Last Name:HAND
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:LEE
Other - Last Name:CHAMBERLAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:
Practice Address - Street 1:549 FAIR ST
Practice Address - Street 2:
Practice Address - City:BLOOMSBURG
Practice Address - State:PA
Practice Address - Zip Code:17815-1419
Practice Address - Country:US
Practice Address - Phone:570-387-2110
Practice Address - Fax:570-387-7630
Is Sole Proprietor?:No
Enumeration Date:2011-02-17
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004421133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA35433OtherUSMLE ID