MEDICARE: LAUREN MEHRY AMIRHAMZEH RDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133V00000X	Registered Dietitian
2	133VN1004X	Pediatric Nutrition Registered Dietitian
3	133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian
4	133VN1401X	Pediatric Critical Care Nutrition Registered Dietitian
5	133VN1501X	Sports Dietetics Nutrition Registered Dietitian

General Provider Information

NPI Number	:	1760111033
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAUREN MEHRY AMIRHAMZEH RDN

Provider Business Mailing Address
First Line	:	158 S ABALONE DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-5642
Country	:	US
Telephone Number	:	419-481-4160
Fax Number	:

Provider Business Practice Location Address
First Line	:	158 S ABALONE DR
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85233-5642
Country	:	US
Telephone Number	:	419-481-4160
Fax Number	:

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

Provider Enumeration Date	:	06/09/2022
Last Update Date	:	02/07/2026

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