Healthcare Provider Details

I. General information

NPI: 1386381929
Provider Name (Legal Business Name): LAUREN MURABITO RDN,LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2022
Last Update Date: 05/16/2022
Certification Date: 05/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 BLACK ALDER DR
KINGSTON NH
03848-3002
US

IV. Provider business mailing address

1 BLACK ALDER DR
KINGSTON NH
03848-3002
US

V. Phone/Fax

Practice location:
  • Phone: 978-225-3395
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133VN1201X
TaxonomyObesity and Weight Management Nutrition Registered Dietitian
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number0896
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: