Laura Gordon, RD, LD
Individual provider Active NPI Registered Dietitian · Washington, DC
NPI 1164580403 · NPPES record last updated Mar 4, 2009
Key facts
- NPI
- 1164580403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- DT07483 (TX)
- Practice address
- 6900 Georgia Ave NW
Walter Reed Army Medical Center, NCD
Washington, DC 20307-0003 - Phone
- (202) 782-6207
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DT07483 | TX | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DT07483 | TX | Yes |
Addresses
Primary practice location
6900 Georgia Ave NW
Walter Reed Army Medical Center, NCD
Washington, DC 20307-0003
Mailing address
6900 Georgia Ave NW
Walter Reed Army Medical Center, NCD
Washington, DC 20307-0003
Phone (202) 782-6207
Other providers in Washington, DC
- Glennon T Gordon
- Jacob Gordon
- Jahvon Gordon
- James Samuel Gordon
- Jasmin Gordon
- Mary Gordon
- Megan Erin Gordon
- Michelle Gordon
- Monique Gordon
- Natisha Gordon
All providers in Washington, DC · Registered Dietitian in District of Columbia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.