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NPI 1669322111

NPI 1669322111 : LAUREN FRIERSON RD : LORAIN, OH

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General NPI Number Information
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    NPI Number           |    1669322111
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    Entity Type          |    Individual 
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    Provider Name        |    LAUREN FRIERSON RD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    02/02/2026
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    Last Update Date     |    02/02/2026
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Provider Practice Location Address
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    Address Line         |    5700 COOPER FOSTER PARK RD W 
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    City                 |    LORAIN
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    State                |    OH
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    Zip                  |    44053-4152
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    Country              |    US
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    Telephone            |    440-204-7400
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    277 MAIN ST APT 214 
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    City                 |    WESTLAKE
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    State                |    OH
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    Zip                  |    44145-8172
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    Country              |    US
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    Telephone            |    601-818-2789
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    LD.11015
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    License Number State |    OH
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