Provider Demographics
NPI:1952686990
Name:VREELAND, LAUREN M (ND)
Entity Type:Individual
Prefix:DR
First Name:LAUREN
Middle Name:M
Last Name:VREELAND
Suffix:
Gender:F
Credentials:ND
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:M
Other - Last Name:ELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1831 ORANGE AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92627-2839
Mailing Address - Country:US
Mailing Address - Phone:949-574-4978
Mailing Address - Fax:949-574-9854
Practice Address - Street 1:1831 ORANGE AVE
Practice Address - Street 2:SUITE A
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92627-2839
Practice Address - Country:US
Practice Address - Phone:949-574-4978
Practice Address - Fax:949-574-9854
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-486175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath