Provider Demographics
NPI:1730800640
Name:LAUREN D FELDER, RD, LLC
Entity type:Organization
Organization Name:LAUREN D FELDER, RD, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:D
Authorized Official - Last Name:FELDER
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:337-889-4362
Mailing Address - Street 1:141 RIDGEWAY DR STE 103A
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-3402
Mailing Address - Country:US
Mailing Address - Phone:337-889-4362
Mailing Address - Fax:
Practice Address - Street 1:141 RIDGEWAY DR STE 103A
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3402
Practice Address - Country:US
Practice Address - Phone:337-889-4362
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-08
Last Update Date:2022-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty