Healthcare Provider Details

I. General information

NPI: 1912747817
Provider Name (Legal Business Name): LAUREN STRATTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7012 MARLOWE RD STE 100
RICHMOND VA
23225-4144
US

IV. Provider business mailing address

1152 BLUE HERON CIR
FOREST VA
24551-1994
US

V. Phone/Fax

Practice location:
  • Phone: 888-830-6538
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: