MEDICARE: LAUREN MELENDEZ RDN, LDN

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
1	133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian	11572	FL
2	133V00000X	Registered Dietitian	11572	FL

General Provider Information

NPI Number	:	1174239602
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MELENDEZ RDN, LDN

Provider Business Mailing Address
First Line	:	832 WELCH HILL CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-2777
Country	:	US
Telephone Number	:	407-276-3167
Fax Number	:

Provider Business Practice Location Address
First Line	:	832 WELCH HILL CIR
Second Line	:
City	:	APOPKA
State	:	FL
Zip	:	32712-2777
Country	:	US
Telephone Number	:	407-276-3167
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/27/2023
Last Update Date	:	01/27/2023

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