Laura L Dailey, RD

Primary specialty

Renal Nutrition Registered DietitianTaxonomy code 133VN1005X

License

DT04918 Issued in TX

Practice address

2329 N 39TH St
Bma Waco - CKD Services
Waco, TX 76708-3003

Phone

(254) 752-5503

Fax

(254) 752-4844

NPI assigned

Sep 1, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Laura V Lane Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1285746412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 N 39TH ST",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083003",
            "telephone_number": "254-752-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 N 39TH ST",
            "address_2": "BMA WACO - CKD SERVICES",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767083003",
            "telephone_number": "254-752-5503",
            "fax_number": "254-752-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAILEY",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-01",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1005X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Renal",
            "state": "TX",
            "license": "DT04918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "LANE",
            "middle_name": "V",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• CVS Pharmacy Inc
• CVS Pharmacy Inc.
• Gala Kaye Czajkoski, COTA
• Amanda Brophy Czimskey, CCC, SLP
• Pramila K. Daftary, M.D.
• Peter Shane Dailey, MD
• Bethany Dallenbach, PA-C
• Thomas Andrew Damato, M.D.
• Dan Alineum Dental-Waco PLLC
• Michael Minh Dang, DDS

• Renal Nutrition Registered Dietitian in Waco, TX
• Providers in Waco, TX by specialty
• Renal Nutrition Registered Dietitian in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.