Provider Demographics
NPI:1871904235
Name:DINOLFO, LAURA MURPHY (RD, LDN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:MURPHY
Last Name:DINOLFO
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4081 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2143
Mailing Address - Country:US
Mailing Address - Phone:561-721-5644
Mailing Address - Fax:
Practice Address - Street 1:4081 CEDAR AVE
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2143
Practice Address - Country:US
Practice Address - Phone:561-721-5644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND6169133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered