Individual
LAURIE GOTTLIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 BOLINAS RD STE 5, FAIRFAX, CA 94930-1626
(415) 760-6108
(888) 226-7020
Mailing address
159 W OAK KNOLL DR, SAN ANSELMO, CA 94960-1175
(415) 760-6108
(415) 760-6108
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
CA
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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