Provider Demographics
NPI:1306129838
Name:MELNICK, LAUREN MARIA (MS, RD, LD)
Entity type:Individual
Prefix:MS
First Name:LAUREN
Middle Name:MARIA
Last Name:MELNICK
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CENTER FOR HUMAN NUTRITION M17
Mailing Address - Street 2:CLEVELAND CLINIC: 9500 EUCLID AVENUE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0002
Mailing Address - Country:US
Mailing Address - Phone:216-444-6487
Mailing Address - Fax:216-444-9415
Practice Address - Street 1:CENTER FOR HUMAN NUTRITION M17
Practice Address - Street 2:CLEVELAND CLINIC: 9500 EUCLID AVENUE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0002
Practice Address - Country:US
Practice Address - Phone:216-444-6487
Practice Address - Fax:216-444-9415
Is Sole Proprietor?:No
Enumeration Date:2011-09-21
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6200133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered