Provider Demographics
NPI:1720552243
Name:FARNSWORTH, LAURA C (DCN, MS, CNS)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:C
Last Name:FARNSWORTH
Suffix:
Gender:
Credentials:DCN, MS, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30650 RANCHO CALIFORNIA RD # D406-132
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-3215
Mailing Address - Country:US
Mailing Address - Phone:442-444-0018
Mailing Address - Fax:
Practice Address - Street 1:30650 RANCHO CALIFORNIA RD # D406-132
Practice Address - Street 2:
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-3215
Practice Address - Country:US
Practice Address - Phone:442-444-0018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-17
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty