Provider Demographics
NPI:1376249623
Name:BARKAN, LAUREN (MS, RD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:BARKAN
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 1:1009 DOWNSHIRE CHASE
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-6154
Mailing Address - Country:US
Mailing Address - Phone:757-636-6097
Mailing Address - Fax:
Practice Address - Street 1:1009 DOWNSHIRE CHASE
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-6154
Practice Address - Country:US
Practice Address - Phone:757-636-6097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-07
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
873556OtherCDR REGISTRATION