Provider Demographics
NPI:1326591835
Name:BIGIO, LAUREN HAVIVA (MS, RD, LDN)
Entity type:Individual
Prefix:MISS
First Name:LAUREN
Middle Name:HAVIVA
Last Name:BIGIO
Suffix:
Gender:
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:74 KENT ST APT C14
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-7912
Mailing Address - Country:US
Mailing Address - Phone:516-660-7149
Mailing Address - Fax:
Practice Address - Street 1:74 KENT ST APT C14
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7912
Practice Address - Country:US
Practice Address - Phone:516-660-7149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-01
Last Update Date:2025-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4129133V00000X, 133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric