Provider Demographics
NPI:1093439283
Name:LAUREN HAUGHEY NUTRITION, LLC
Entity Type:Organization
Organization Name:LAUREN HAUGHEY NUTRITION, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUGHEY
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:802-622-1734
Mailing Address - Street 1:34 BLAIR PARK RD
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-7991
Mailing Address - Country:US
Mailing Address - Phone:802-622-1734
Mailing Address - Fax:802-304-5401
Practice Address - Street 1:34 BLAIR PARK RD
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7991
Practice Address - Country:US
Practice Address - Phone:802-622-1734
Practice Address - Fax:802-304-5401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-30
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty