NPI 1083915300

Nicole Samantha Lawrence, DBHMPHRDLDN

Practitioner Registered Dietitian Kennesaw, GA

Practice location

Address: 2483 Kaley Walk NW, Kennesaw, GA 30152-2685
Phone: (770) 417-0512

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence LD004834 (GA)

Other Dietitian, Registered providers in Georgia →

Registry record

NPI: 1083915300
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Nov 2010
Record last updated: 28 Aug 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.