Provider Demographics
NPI:1831816289
Name:ABSHER, LAUREN (MPH, RDN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:ABSHER
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3325 N UNIVERSITY AVE STE 275
Mailing Address - Street 2:
Mailing Address - City:PROVO
Mailing Address - State:UT
Mailing Address - Zip Code:84604-7415
Mailing Address - Country:US
Mailing Address - Phone:801-691-8090
Mailing Address - Fax:
Practice Address - Street 1:3325 N UNIVERSITY AVE STE 275
Practice Address - Street 2:
Practice Address - City:PROVO
Practice Address - State:UT
Practice Address - Zip Code:84604-7415
Practice Address - Country:US
Practice Address - Phone:801-691-8090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-26
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered