Provider Demographics
NPI:1588841779
Name:STERN, LAUREN HOPE (MS, RD, CDN)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:HOPE
Last Name:STERN
Suffix:
Gender:F
Credentials:MS, RD, CDN
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:HOPE
Other - Last Name:COHEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, RD, CDN
Mailing Address - Street 1:96 ENGLE ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:ENGLEWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07631-2947
Mailing Address - Country:US
Mailing Address - Phone:201-709-8909
Mailing Address - Fax:
Practice Address - Street 1:96 ENGLE ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:ENGLEWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07631-2947
Practice Address - Country:US
Practice Address - Phone:201-709-8909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered