Provider Demographics
NPI:1598412538
Name:RHATIGAN, LAUREN (RD, CSR, CSG, CDCES)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:RHATIGAN
Suffix:
Gender:F
Credentials:RD, CSR, CSG, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:267 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:SHIP BOTTOM
Mailing Address - State:NJ
Mailing Address - Zip Code:08008-4637
Mailing Address - Country:US
Mailing Address - Phone:609-290-5089
Mailing Address - Fax:
Practice Address - Street 1:267 W 7TH ST
Practice Address - Street 2:
Practice Address - City:SHIP BOTTOM
Practice Address - State:NJ
Practice Address - Zip Code:08008-4637
Practice Address - Country:US
Practice Address - Phone:609-290-5089
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-09
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered