Provider Demographics
NPI:1407444383
Name:FISCHER, LAUREN MAY STAFFORD (MS, RDN)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MAY STAFFORD
Last Name:FISCHER
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 NICHOL MILL LN APT 266
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8361
Mailing Address - Country:US
Mailing Address - Phone:901-303-5661
Mailing Address - Fax:
Practice Address - Street 1:427 NICHOL MILL LN APT 266
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TN
Practice Address - Zip Code:37067-8361
Practice Address - Country:US
Practice Address - Phone:901-303-5661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-06
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered