Provider Demographics
NPI:1942930136
Name:ADAMS, LAUREL (RD)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:
Last Name:ADAMS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:LAUREL
Other - Middle Name:
Other - Last Name:HOGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:26926 FLO LN UNIT 420
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91351-5519
Mailing Address - Country:US
Mailing Address - Phone:661-993-7817
Mailing Address - Fax:
Practice Address - Street 1:26926 FLO LN UNIT 420
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91351-5519
Practice Address - Country:US
Practice Address - Phone:661-993-7817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-13
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Renal