Provider Demographics
NPI:1528748852
Name:SHAFFER, LAUREN (MPH, RDN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:
Last Name:SHAFFER
Suffix:
Gender:F
Credentials:MPH, RDN
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:
Other - Last Name:CONFORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 ONEIDA RD
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-2315
Mailing Address - Country:US
Mailing Address - Phone:978-501-3894
Mailing Address - Fax:
Practice Address - Street 1:200 SPRINGS RD
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:01730-1114
Practice Address - Country:US
Practice Address - Phone:781-687-2729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-21
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered