MEDICARE: DR. APRIL DANIELLE FOGLEMAN PHD, RDN, LDN, IBCLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174N00000X	Lactation Consultant (Non-RN)	11014824	NC
2	133V00000X	Registered Dietitian	L005622	NC

General Provider Information

NPI Number	:	1720580541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. APRIL DANIELLE FOGLEMAN PHD, RDN, LDN, IBCLC

Provider Business Mailing Address
First Line	:	6009 LUNENBURG DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-8073
Country	:	US
Telephone Number	:	984-289-5555
Fax Number	:

Provider Business Practice Location Address
First Line	:	6009 LUNENBURG DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27603-8073
Country	:	US
Telephone Number	:	984-289-5555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2018
Last Update Date	:	04/08/2026

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