Provider Demographics
NPI:1538782875
Name:WILLIAMS, LAUREN E (LMNT, RDN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:E
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LMNT, RDN
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:E
Other - Last Name:SKRABAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMNT,RDN
Mailing Address - Street 1:5005 S 153RD ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-5069
Mailing Address - Country:US
Mailing Address - Phone:402-717-9100
Mailing Address - Fax:402-717-9101
Practice Address - Street 1:5005 S 153RD ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-5069
Practice Address - Country:US
Practice Address - Phone:402-717-9100
Practice Address - Fax:402-717-9101
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA101757133N00000X, 136A00000X
NE1409133V00000X, 133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No136A00000XDietary & Nutritional Service ProvidersDietetic Technician, Registered