Provider Demographics
NPI:1053783506
Name:FALCONI, LAURA ELENA (RD, LDN)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:ELENA
Last Name:FALCONI
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 1:1008 HUNTWOOD LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-2172
Mailing Address - Country:US
Mailing Address - Phone:703-909-1917
Mailing Address - Fax:
Practice Address - Street 1:1008 HUNTWOOD LN
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-2172
Practice Address - Country:US
Practice Address - Phone:703-909-1917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered