Provider Demographics
NPI:1730767955
Name:DARVILLE, LAURA ELAINE (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELAINE
Last Name:DARVILLE
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5606 MAPLE SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-1243
Mailing Address - Country:US
Mailing Address - Phone:713-391-5221
Mailing Address - Fax:
Practice Address - Street 1:5606 MAPLE SQUARE DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-1243
Practice Address - Country:US
Practice Address - Phone:713-391-5221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2021-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered