Provider Demographics
NPI:1639812753
Name:LAUDY, JANET
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:LAUDY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 CRESTVIEW TER
Mailing Address - Street 2:
Mailing Address - City:ORINDA
Mailing Address - State:CA
Mailing Address - Zip Code:94563-3934
Mailing Address - Country:US
Mailing Address - Phone:415-377-4008
Mailing Address - Fax:
Practice Address - Street 1:14 CRESTVIEW TER
Practice Address - Street 2:
Practice Address - City:ORINDA
Practice Address - State:CA
Practice Address - Zip Code:94563-3934
Practice Address - Country:US
Practice Address - Phone:415-377-4008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-16
Last Update Date:2022-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist