Provider Demographics
NPI:1962114066
Name:LAUDONE, JULIA ANN (RDN, LDN, MHSC)
Entity type:Individual
Prefix:MRS
First Name:JULIA
Middle Name:ANN
Last Name:LAUDONE
Suffix:
Gender:F
Credentials:RDN, LDN, MHSC
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:206 EAST BROWN ST LVH-POCONO
Mailing Address - Street 2:DIETARY DEPARTMENT
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18301
Mailing Address - Country:US
Mailing Address - Phone:570-476-3323
Mailing Address - Fax:570-420-2444
Practice Address - Street 1:206 EAST BROWN ST LVH-POCONO
Practice Address - Street 2:DIETARY DEPARTMENT
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301
Practice Address - Country:US
Practice Address - Phone:570-476-3323
Practice Address - Fax:570-420-2444
Is Sole Proprietor?:No
Enumeration Date:2022-12-20
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PADN007505133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered