Provider Demographics
NPI:1760012843
Name:LAUREN AHOLA NUTRITION & YOGA LLC
Entity Type:Organization
Organization Name:LAUREN AHOLA NUTRITION & YOGA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:ELAINE
Authorized Official - Last Name:AHOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MS RD LDN
Authorized Official - Phone:781-724-0664
Mailing Address - Street 1:365 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:MA
Mailing Address - Zip Code:02341-1912
Mailing Address - Country:US
Mailing Address - Phone:781-724-0664
Mailing Address - Fax:
Practice Address - Street 1:365 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:HANSON
Practice Address - State:MA
Practice Address - Zip Code:02341-1912
Practice Address - Country:US
Practice Address - Phone:781-724-0664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty