Provider Demographics
NPI:1831830835
Name:BARBER, LAUREN MCKENZIE (RDN, LDN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MCKENZIE
Last Name:BARBER
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 SEVEN SPRINGS WAY APT 402
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-6084
Mailing Address - Country:US
Mailing Address - Phone:423-280-4257
Mailing Address - Fax:
Practice Address - Street 1:1104 16TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2305
Practice Address - Country:US
Practice Address - Phone:423-280-4257
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4067133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered