Provider Demographics
NPI:1629340351
Name:LAUER, CHRISTINE M (RD)
Entity Type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:M
Last Name:LAUER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 HORIZON LN
Mailing Address - Street 2:
Mailing Address - City:CANDIA
Mailing Address - State:NH
Mailing Address - Zip Code:03034-2019
Mailing Address - Country:US
Mailing Address - Phone:603-483-2038
Mailing Address - Fax:
Practice Address - Street 1:195 MCGREGOR ST
Practice Address - Street 2:SUITE 312
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-3748
Practice Address - Country:US
Practice Address - Phone:603-663-6931
Practice Address - Fax:603-663-6735
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-26
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH304133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH26153Medicare PIN