Provider Demographics
NPI:1679373641
Name:LAUREN SMITH NUTRITION COACHING LLC
Entity type:Organization
Organization Name:LAUREN SMITH NUTRITION COACHING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:484-888-2927
Mailing Address - Street 1:1076 CLIPPER MILL DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-5291
Mailing Address - Country:US
Mailing Address - Phone:484-888-2927
Mailing Address - Fax:
Practice Address - Street 1:18 CAMPUS BLVD.
Practice Address - Street 2:SUITE 100
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073
Practice Address - Country:US
Practice Address - Phone:484-888-2927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty