Individual
LAUREN ATHENA PAPANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD
Contact information
Practice address
886 SINGING TRAILS DR, EL CAJON, CA 92019-2756
(619) 379-2416
Mailing address
23442 BATEY AVE, HARBOR CITY, CA 90710-1204
(619) 379-2416
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86038027
CA
133V00000X
Registered Dietitian
DT84413
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
ANTHEM BC OF CA
CA
01
—
0000
UNITED HEALTHCARE
—
01
—
258298
HEALTH NET
—
Enumeration date
09/24/2016
Last updated
11/06/2020
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