Individual
LAUREN BRAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
33 RESEARCH WAY, EAST SETAUKET, NY 11733-3489
(631) 444-0624
Mailing address
PO BOX 1559, STONY BROOK, NY 11790-0989
(631) 444-0624
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005287
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7739297
AETNA
NY
01
—
9075E1
EMPIRE BC.BS
NY
Enumeration date
06/16/2006
Last updated
04/22/2010
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