Provider Demographics
NPI:1053018390
Name:FREEDMAN, LAUREN (NBC-HWC)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:FREEDMAN
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5421 1/2 VILLAGE GRN
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90016-5106
Mailing Address - Country:US
Mailing Address - Phone:347-422-4920
Mailing Address - Fax:
Practice Address - Street 1:5421 1/2 VILLAGE GRN
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90016-5106
Practice Address - Country:US
Practice Address - Phone:347-422-4920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
A-3683062171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach