Healthcare Provider Details

I. General information

NPI: 1083254692
Provider Name (Legal Business Name): LAUREN Q RHEE MS, RD, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2020
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7682 MAPLE LAWN BLVD UNIT 2
FULTON MD
20759-2500
US

IV. Provider business mailing address

PO BOX 218
FULTON MD
20759-0218
US

V. Phone/Fax

Practice location:
  • Phone: 786-261-7181
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberDX3610
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: