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NPI Code Detail

MEDICARE: LAUREN SANDER MS RD CSSD LD

MEDICARE:   LAUREN  SANDER  MS RD CSSD LD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian01073852

General Provider Information

NPI Number : 1902323264
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN SANDER MS RD CSSD LD
Provider Business Mailing Address
First Line : 1146 4TH ST NE
Second Line :
City : WASHINGTON
State : DC
Zip : 20002-3410
Country : US
Telephone Number : 203-240-5726
Fax Number :
Provider Business Practice Location Address
First Line : 7701 TELEGRAPH RD
Second Line :
City : ALEXANDRIA
State : VA
Zip : 22315-3822
Country : US
Telephone Number : 203-240-5726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2017
Last Update Date : 06/17/2026

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Directions to “ LAUREN SANDER MS RD CSSD LD” Practice Location

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