Individual
LAUREN ATHENA PAPANOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD
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
Update your record
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