Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LAURA LEE DAVIS, MS, RD, LD
ActivePediatric Nutrition · MARIETTA, GA
Registration Details
- NPI Number
- 1720156110
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2006 (19.38893587932 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
1640 POWERS FERRY ROADSUITE 100, BUILDING 9MARIETTA, GA, 300675491Browse GA providers · Browse ZIP 30067
- Phone
- 7709530080
- Fax
- 7709530031
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.