Provider Demographics
NPI:1609405232
Name:LAURENDEAU, AKIKO WAKIMOTO (RDN)
Entity Type:Individual
Prefix:
First Name:AKIKO
Middle Name:WAKIMOTO
Last Name:LAURENDEAU
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:ROBYN
Other - Middle Name:AKIKO
Other - Last Name:WAKIMOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:150 MELROSE AVE E APT 106
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-5524
Mailing Address - Country:US
Mailing Address - Phone:360-830-6507
Mailing Address - Fax:
Practice Address - Street 1:150 MELROSE AVE E APT 106
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-5524
Practice Address - Country:US
Practice Address - Phone:360-830-6507
Practice Address - Fax:833-740-4091
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered