Provider Demographics
NPI:1326208562
Name:TRAPP, LAUREN ELIZABETH (RD, LD)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:ELIZABETH
Last Name:TRAPP
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:PHILLIPS
Other - Last Name:TRAPP
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:209 FERN WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-6764
Mailing Address - Country:US
Mailing Address - Phone:850-499-5672
Mailing Address - Fax:
Practice Address - Street 1:209 FERN WAY
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-6764
Practice Address - Country:US
Practice Address - Phone:850-499-5672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-11
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND7321133V00000X
TN2014133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered