Provider Demographics
NPI:1982840369
Name:KOCEJA, LORREN RACHEL (RD, CD)
Entity Type:Individual
Prefix:MRS
First Name:LORREN
Middle Name:RACHEL
Last Name:KOCEJA
Suffix:
Gender:F
Credentials:RD, CD
Other - Prefix:MRS
Other - First Name:LORREN
Other - Middle Name:RACHEL
Other - Last Name:NEGRIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, CD
Mailing Address - Street 1:325 9TH AVE # 359790
Mailing Address - Street 2:HARBORVIEW MEDICAL CENTER
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-2420
Mailing Address - Country:US
Mailing Address - Phone:206-540-6921
Mailing Address - Fax:206-744-4012
Practice Address - Street 1:325 9TH AVE # 359790
Practice Address - Street 2:HARBORVIEW MEDICAL CENTER
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2420
Practice Address - Country:US
Practice Address - Phone:206-540-6921
Practice Address - Fax:206-744-8540
Is Sole Proprietor?:No
Enumeration Date:2009-01-06
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI60055748133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered