Provider Demographics
NPI:1356098917
Name:STEINER, LAUREN ZAGORSKI (RD)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:ZAGORSKI
Last Name:STEINER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4040 MATHESON AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-6638
Mailing Address - Country:US
Mailing Address - Phone:305-586-2629
Mailing Address - Fax:
Practice Address - Street 1:355 MARQUESA DR
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33156-2335
Practice Address - Country:US
Practice Address - Phone:305-586-2629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11065133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered