Provider Demographics
NPI:1417741703
Name:FIABANE, LAUREN (MPH RDN LDN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:FIABANE
Suffix:
Gender:
Credentials:MPH RDN LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 MONMOUTH ST STE 309
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-2069
Mailing Address - Country:US
Mailing Address - Phone:732-820-0032
Mailing Address - Fax:
Practice Address - Street 1:32 MONMOUTH ST STE 309
Practice Address - Street 2:
Practice Address - City:RED BANK
Practice Address - State:NJ
Practice Address - Zip Code:07701-2069
Practice Address - Country:US
Practice Address - Phone:732-820-0032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-09
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL006747133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered