Provider Demographics
NPI:1437954278
Name:STANLEY, LAUREN (RDN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:STANLEY
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1080 N SHERMAN ST APT 403
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2855
Mailing Address - Country:US
Mailing Address - Phone:260-687-1030
Mailing Address - Fax:
Practice Address - Street 1:1080 N SHERMAN ST APT 403
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2855
Practice Address - Country:US
Practice Address - Phone:260-687-1030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO86292345133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered