Provider Demographics
NPI:1922997196
Name:BUSKY, LAUREN ANNE (RD, LDN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ANNE
Last Name:BUSKY
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4106 CHARDEL RD APT 3D
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5469
Mailing Address - Country:US
Mailing Address - Phone:410-967-1783
Mailing Address - Fax:
Practice Address - Street 1:4106 CHARDEL RD APT 3D
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5469
Practice Address - Country:US
Practice Address - Phone:410-967-1783
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-01
Last Update Date:2025-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX4706133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered