| Lauren Maria Boulus, MS, RD, LDN | |
|
4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 | |
| (919) 784-7874 | |
| Not Available |
| Full Name | Lauren Maria Boulus |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 4207 Lake Boone Trl Ste 210, Raleigh, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164903324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L004957 (North Carolina) | Primary |
| Provider Name | Advance Community Health Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1245223783 PECOS PAC ID: 3577471697 Enrollment ID: O20040824000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Maria Boulus, MS, RD, LDN 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 Ph: () - | Lauren Maria Boulus, MS, RD, LDN 4207 Lake Boone Trl Ste 210, Raleigh, NC 27607-6685 Ph: (919) 784-7874 |
Kelly L Nordby, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 512 Brickhaven Dr, Raleigh, NC 27606 Phone: 919-707-5397 | |
Reanna Kelly, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 3204 Livia Cir, Raleigh, NC 27604 Phone: 919-730-4956 | |
Isabella Margaret Swiecicki, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6340 Dowd Forest Dr Apt 206, Raleigh, NC 27615 Phone: 248-953-9712 | |
Mrs. Heather Nelson Sorrell, MS,RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 Glenwood Ave, Suite 313, Raleigh, NC 27603 Phone: 919-605-2206 | |
Mrs. Jennifer Lauren Hunt, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8300 Health Park Ste 325, Raleigh, NC 27615 Phone: 919-870-1001 | |
Cassandra Ann Martineson, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1911 Falls Valley Dr Ste 105, Raleigh, NC 27615 Phone: 919-249-4600 | |
Neils Barringer, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4209 Lassiter Mill Rd Unit 63, Raleigh, NC 27609 Phone: 919-491-6702 |