Provider Demographics
NPI:1538904305
Name:BRUMFIELD, LAURA C (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:C
Last Name:BRUMFIELD
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9900 LAKE FOREST BLVD STE F
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70127-2609
Mailing Address - Country:US
Mailing Address - Phone:504-620-0500
Mailing Address - Fax:504-620-0522
Practice Address - Street 1:9900 LAKE FOREST BLVD STE F
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70127-2609
Practice Address - Country:US
Practice Address - Phone:504-620-0500
Practice Address - Fax:504-620-0522
Is Sole Proprietor?:No
Enumeration Date:2024-06-25
Last Update Date:2024-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1068133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered