Provider Demographics
NPI:1033541040
Name:HUBER, LAUREN ELISE (RD, LDN)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:ELISE
Last Name:HUBER
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 ROSEDALE CT
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19401-1903
Mailing Address - Country:US
Mailing Address - Phone:302-545-7647
Mailing Address - Fax:
Practice Address - Street 1:167 ROSEDALE CT
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19401-1903
Practice Address - Country:US
Practice Address - Phone:302-545-7647
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2013-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004665133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered