Provider Demographics
NPI:1912181546
Name:SCHMITT, LAUREN NICOLE (MS, RD)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:NICOLE
Last Name:SCHMITT
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12206 VENTURA BLVD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:STUDIO CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91604-2516
Mailing Address - Country:US
Mailing Address - Phone:323-371-5556
Mailing Address - Fax:323-315-9323
Practice Address - Street 1:12206 VENTURA BLVD
Practice Address - Street 2:SUITE 206
Practice Address - City:STUDIO CITY
Practice Address - State:CA
Practice Address - Zip Code:91604-2516
Practice Address - Country:US
Practice Address - Phone:323-371-5556
Practice Address - Fax:323-315-9323
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2008-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA955285133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education