Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Lauren Maria Boulus, MS, RD, LDN

Individual provider Registered Dietitian · NPI 1164903324

Lauren Maria Boulus, MS, RD, LDN is a Registered Dietitian OR Nutrition Professional in Raleigh, North Carolina. Qualified in 2015, 11 years ago. Practices with Advance Community Health Inc, a 32-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
11
Licensed in
NC
In the registry since
2018
What do these letters mean?
MS — Master of Science
A graduate science degree.
RD — Registered Dietitian
A credentialed nutrition professional.
LDN — Licensed Dietitian Nutritionist
A state-licensed dietitian nutritionist.

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Practice location Address checks out

4207 Lake Boone Trl Ste 210
Raleigh, NC 27607-6685
Phone: (919) 784-7874
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence L004957 (NC)

Record details

NPI number1164903324
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , RD , LDN
Sole proprietorNo
NPI enumeratedAugust 27, 2018
Last updated in NPPESSeptember 12, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyREGISTERED DIETITIAN OR NUTRITION PROFESSIONAL
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Advance Community Health Inc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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