Provider Demographics
NPI:1013075076
Name:CHADWICK-SONNEN, LAUREN R (MA, RSCC CSCS)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:R
Last Name:CHADWICK-SONNEN
Suffix:
Gender:F
Credentials:MA, RSCC CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 PALOS VERDES DR.
Mailing Address - Street 2:UNIT B
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231
Mailing Address - Country:US
Mailing Address - Phone:941-504-1630
Mailing Address - Fax:
Practice Address - Street 1:5210 PALOS VERDES DR.
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231
Practice Address - Country:US
Practice Address - Phone:941-504-1630
Practice Address - Fax:941-504-1630
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist