Provider Demographics
NPI:1467853119
Name:JONES, LAUREN (RDN, LD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1356 MILL CREEK RD
Mailing Address - Street 2:
Mailing Address - City:PURYEAR
Mailing Address - State:TN
Mailing Address - Zip Code:38251-4331
Mailing Address - Country:US
Mailing Address - Phone:270-227-4715
Mailing Address - Fax:
Practice Address - Street 1:300 S 8TH ST
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-2400
Practice Address - Country:US
Practice Address - Phone:270-762-1538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-12
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY121350133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2379OtherLICENSE NUMBER
1042095OtherCDR #