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NPI Code Detail

MEDICARE: MS. TAYLOR LAUREN JANULEWICZ RDN

MEDICARE: MS. TAYLOR LAUREN JANULEWICZ RDN
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
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1487170270
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAYLOR LAUREN JANULEWICZ RDN
Provider Business Mailing Address
First Line : 7301 N 16TH ST STE 102
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-5266
Country : US
Telephone Number : 480-323-6011
Fax Number :
Provider Business Practice Location Address
First Line : 7301 N 16TH ST STE 102
Second Line :
City : PHOENIX
State : AZ
Zip : 85020-5266
Country : US
Telephone Number : 480-323-6011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2017
Last Update Date : 12/01/2025

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