Provider Demographics
NPI:1780499400
Name:JEMAL, LAUREN JOY (REGISTERED DIETITIAN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:JOY
Last Name:JEMAL
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:MRS
Other - First Name:LAUREN
Other - Middle Name:JOY
Other - Last Name:SETTON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:REGISTERED DIETITIAN
Mailing Address - Street 1:948 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-3515
Mailing Address - Country:US
Mailing Address - Phone:347-986-9145
Mailing Address - Fax:
Practice Address - Street 1:948 E 8TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-3515
Practice Address - Country:US
Practice Address - Phone:347-986-9145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-10
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY86390965133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty