Provider Demographics
NPI:1154284651
Name:FREEMAN, LAURA (RD, LDN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:FREEMAN
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 1:820 WOODLAND DR
Mailing Address - Street 2:
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-4512
Mailing Address - Country:US
Mailing Address - Phone:610-416-5039
Mailing Address - Fax:
Practice Address - Street 1:820 WOODLAND DR
Practice Address - Street 2:
Practice Address - City:HAVERTOWN
Practice Address - State:PA
Practice Address - Zip Code:19083-4512
Practice Address - Country:US
Practice Address - Phone:610-416-5039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001439133VN1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1101XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, GerontologicalGroup - Single Specialty