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Laura Wagner, MS,RD
Pediatric Nutrition Registered Dietitian in Pontiac, Michigan
NPI 1962254888

Laura Wagner is a Pediatric Nutrition Registered Dietitian based in Ann Arbor, MI and is specialized in Nutrition, Pediatric. Laura Wagner practices in Pontiac, MI and has the professional credentials of MS,RD. The NPI Number for Laura Wagner is 1962254888 and holds a License No. (Michigan).

The current practice location address for Laura Wagner is 44555 Woodward Ave Ste 105, Pontiac, MI and can be reached out via phone at 248-885-3515.

Location: 44555 Woodward Ave Ste 105, Pontiac, MI, 48105-9484
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962254888
Provider Name
Laura Wagner
Credential
MS,RD
Provider Entity Type
Individual
Gender
Female
Address
44555 Woodward Ave Ste 105, Pontiac, MI, 48105-9484
Phone Number
248-885-3515
Fax Number
Provider Enumeration Date
04/03/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
44555 Woodward Ave Ste 105
City
Pontiac
State
Michigan
Zip
48341-5032
Phone Number
248-885-3515
Fax Number
person
Provider Business Mailing Address Details
Address
44555 Woodward Ave Ste 105
City
Pontiac
State
Michigan
Zip
48341-5032
Phone Number
248-885-3515
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Pediatric
Taxonomy
133VN1004X
License No.
()
Definition
An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn up to 21 years of age) as well as children with special health care needs in a variety of settings (hospitals, community-based and/or family-centered programs, education programs, home, etc.), OR indirectly through management, care coordination, education, quality improvement, or research practice linked specifically to pediatric nutrition.
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