Provider Demographics
NPI:1316271232
Name:HOWELL-SONDEY, LAUREN ELLEN (RD)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ELLEN
Last Name:HOWELL-SONDEY
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:ELLEN
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD
Mailing Address - Street 1:21 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:MASSAPEQUA PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11762-2750
Mailing Address - Country:US
Mailing Address - Phone:516-804-3109
Mailing Address - Fax:
Practice Address - Street 1:21 3RD AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA PARK
Practice Address - State:NY
Practice Address - Zip Code:11762-2750
Practice Address - Country:US
Practice Address - Phone:516-804-3109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-24
Last Update Date:2009-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY804943133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY804943OtherDIETETIC REGISTRATION NUMBER