Dudley, Leigh Ellen Laster

Dudley, Leigh Ellen Laster is an individual health care provider with primary practice located at 1029 Wishing Well Ln , Charlotte NC 28270-2152. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Dudley, Leigh Ellen Laster can be contacted via phone (704) 451-7401.

Contact Information

Primary practice address
1029 Wishing Well Ln Charlotte NC 28270-2152
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X 3568 Massachusetts
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 3568 Massachusetts
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L004527 North Carolina
Dietary & Nutritional Service Providers / Nutritionist 133N00000X L004527 North Carolina

Profile Details

NPI number 1285059907
LBN Legal business name Dudley, Leigh Ellen Laster
Credentials MS, RDN, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2014
Last updated Dec 1st, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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