Provider Demographics
NPI:1003188772
Name:HOWELL, LAUREN WALRAVEN (RD)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:WALRAVEN
Last Name:HOWELL
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:990 OAK RIDGE TPKE
Mailing Address - Street 2:FOOD AND NUTRITION SERVICES
Mailing Address - City:OAK RIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37830-6976
Mailing Address - Country:US
Mailing Address - Phone:865-835-4109
Mailing Address - Fax:865-835-4102
Practice Address - Street 1:990 OAK RIDGE TPKE
Practice Address - Street 2:FOOD AND NUTRITION SERVICES
Practice Address - City:OAK RIDGE
Practice Address - State:TN
Practice Address - Zip Code:37830-6976
Practice Address - Country:US
Practice Address - Phone:865-835-4109
Practice Address - Fax:865-835-4102
Is Sole Proprietor?:No
Enumeration Date:2012-01-27
Last Update Date:2012-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN640133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered