Provider Demographics
NPI:1811629256
Name:YASUI, LAUREN (RDN)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:YASUI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:988 HALEKAUWILA ST APT 1402
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-4026
Mailing Address - Country:US
Mailing Address - Phone:808-285-1646
Mailing Address - Fax:
Practice Address - Street 1:988 HALEKAUWILA ST APT 1402
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-4026
Practice Address - Country:US
Practice Address - Phone:808-285-1646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI90-LD133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered