Provider Demographics
NPI:1306626924
Name:RASMUSSEN, LAUREN MARIE STOWERS (RDN)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:MARIE STOWERS
Last Name:RASMUSSEN
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:MARIE
Other - Last Name:STOWERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:220 N SPRING CREEK PKWY UNIT 19
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:UT
Mailing Address - Zip Code:84332-9007
Mailing Address - Country:US
Mailing Address - Phone:435-755-3300
Mailing Address - Fax:
Practice Address - Street 1:220 N SPRING CREEK PKWY UNIT 19
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:UT
Practice Address - Zip Code:84332-9007
Practice Address - Country:US
Practice Address - Phone:435-755-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT86294067133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered