Healthcare Provider Details

I. General information

NPI: 1336859008
Provider Name (Legal Business Name): LAUREN ELIZABETH STEPPE MS, CNS, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2022
Last Update Date: 12/02/2022
Certification Date: 12/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2975 HUNTERS BRANCH RD UNIT 114
FAIRFAX VA
22031-6066
US

IV. Provider business mailing address

2975 HUNTERS BRANCH RD UNIT 114
FAIRFAX VA
22031-6066
US

V. Phone/Fax

Practice location:
  • Phone: 703-380-8113
  • Fax:
Mailing address:
  • Phone: 703-380-8113
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberDX5887
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: