Individual
LAUREN MANGANELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
8280 WILLOW OAKS CORPORATE DR STE 300, FAIRFAX, VA 22031-4518
(571) 472-4300
(571) 665-6771
Mailing address
111 S FRONT ST, HARRISBURG, PA 17101-2010
(717) 782-5283
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007544
PA
133V00000X
Registered Dietitian
—
VA
Other
Enumeration date
10/05/2021
Last updated
05/12/2023
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