Provider Demographics
NPI:1053690131
Name:CHMEL, LAUREN MARIE (MS, RD)
Entity Type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:MARIE
Last Name:CHMEL
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6402 MAE ANNE AVE
Mailing Address - Street 2:APT 166
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-1784
Mailing Address - Country:US
Mailing Address - Phone:847-804-4372
Mailing Address - Fax:
Practice Address - Street 1:1500 E 2ND ST
Practice Address - Street 2:SUITE 402
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1262
Practice Address - Country:US
Practice Address - Phone:775-982-5073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-08
Last Update Date:2011-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered