Basic Information
| Provider Information | |||||||||
| NPI: | 1972970754 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | HAND | ||||||||
| FirstName: | LAUREN | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 741331 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303741331 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9134690503 | ||||||||
| FaxNumber: | 9134281500 | ||||||||
| Practice Location | |||||||||
| Address1: | 12210 W 87TH STREET PKWY | ||||||||
| Address2: | |||||||||
| City: | LENEXA | ||||||||
| State: | KS | ||||||||
| PostalCode: | 662152812 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9134386700 | ||||||||
| FaxNumber: | 9134281500 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/27/2015 | ||||||||
| LastUpdateDate: | 08/27/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 1960 | KS | Y | Dietary & Nutritional Service Providers | Dietitian, Registered | 133V00000X | 2015016505 | MO | N | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.