Provider Demographics
NPI:1952411712
Name:MANAKER, LAUREN MINDY (MS, RDN, LD)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MINDY
Last Name:MANAKER
Suffix:
Gender:F
Credentials:MS, RDN, LD
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:HIRSCHFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1970 S DIXIE HWY
Mailing Address - Street 2:UNIT R4
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-7700
Mailing Address - Country:US
Mailing Address - Phone:561-779-2999
Mailing Address - Fax:
Practice Address - Street 1:1970 S DIXIE HWY
Practice Address - Street 2:UNIT R4
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-7700
Practice Address - Country:US
Practice Address - Phone:561-779-2999
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND4564133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered