Provider Demographics
NPI:1386270148
Name:MARSHALL, LAUREN PAIGE (RDN, LD)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:PAIGE
Last Name:MARSHALL
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 TRADE ST STE E
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40511-2616
Mailing Address - Country:US
Mailing Address - Phone:859-648-2835
Mailing Address - Fax:859-407-4725
Practice Address - Street 1:125 TRADE ST STE E
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511-2616
Practice Address - Country:US
Practice Address - Phone:859-648-2835
Practice Address - Fax:859-407-4725
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-12
Last Update Date:2024-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY245782133VN1201X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management