Provider Demographics
NPI:1780391177
Name:FERRITER, LAUREN (FNTP)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:
Last Name:FERRITER
Suffix:
Gender:F
Credentials:FNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8613 CUSHMAN PL
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-2517
Mailing Address - Country:US
Mailing Address - Phone:706-392-0097
Mailing Address - Fax:
Practice Address - Street 1:8613 CUSHMAN PL
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22308-2517
Practice Address - Country:US
Practice Address - Phone:706-392-0097
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-03
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education