Wagner, Lauren Marie

Wagner, Lauren Marie is an individual health care provider with primary practice located at 301 Central Ave Suite D, Egg Harbor Township NJ 08234-8340. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Wagner, Lauren Marie can be contacted via phone (609) 926-5000.

Contact Information

Primary practice address
301 Central Ave Suite D Egg Harbor Township NJ 08234-8340
Fax: (609) 926-2020
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 981448 New Jersey

Profile Details

NPI number 1942444922
LBN Legal business name Wagner, Lauren Marie
Credentials R.D., #981448
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 22nd, 2009
Last updated Apr 22nd, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942444922 NPPES
New Jersey Other 981448 REGISTERED DIETITIAN CREDENTIALED BY THE COMMISSION ON DIETETIC REGISTRATION

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