Provider Demographics
NPI:1154738276
Name:LOCH, LAURA (RD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:LOCH
Suffix:
Gender:
Credentials:RD
Other - Prefix:
Other - First Name:LAURA
Other - Middle Name:
Other - Last Name:HENKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:7230 REDONDO CT
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-1236
Mailing Address - Country:US
Mailing Address - Phone:513-532-3571
Mailing Address - Fax:
Practice Address - Street 1:7230 REDONDO CT
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-1236
Practice Address - Country:US
Practice Address - Phone:513-532-3571
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-07-21
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
AZ86033707133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered