HOLLY RAE ST.LAWRENCE (NPI# 1093013161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093013161 |
| Entity Type | Individual |
| Full Name | HOLLY RAE ST.LAWRENCE |
| Credential | NTP, CPT, CFG |
| Practice Address |
566 Horn Ln Eugene OR 97404-2961 |
| Practice Telephone | 5416363856 |
| Mailing Telephone | 5416363856 |
| Enumeration Date | 2011-03-14 |
| Last Update Date | 2011-03-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
0800 | WA | Dietary & Nutritional Service Providers |
| N | 175F00000X | Naturopath | 656619 | OR | Other Service Providers |
| N | 172M00000X | Mechanotherapist | 1344664 | CA | Other Service Providers |
| Street Address |
566 HORN LN |
| City | EUGENE |
| State | OR |
| Zip Code | 97404-2961 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821503293 | Calvin Daniel Smith | Denturist | 65 Irving Rd, Eugene, OR 97404 | 2017-12-07 |
| 1053838581 | Breann Nicole Martin | Psychologist | 366 Greenfield Ave, Eugene, OR 97404 | 2017-08-25 |
| 1376071464 | Mckenzie Living, Incorporated | Custodial Care Facility | 2621 Lone Oak Way, Eugene, OR 97404 | 2017-06-01 |
| 1205382520 | Gudatu Wotcha | Counselor | 550 River Rd., Eugene, OR 97404 | 2016-08-28 |
| 1750786828 | Orion Emelio | Registered Nurse | 1366 Andersen Ln, Eugene, OR 97404 | 2014-10-30 |
| 1922407634 | Cheyenne Huddleston | Massage Therapist | 48 Irving Rd., Eugene, OR 97404 | 2014-08-19 |
| 1437593258 | Aaron Morgan Varela | Counselor | 348 Ruby Ave., Eugene, OR 97404 | 2013-04-23 |
| 1245579994 | The Eye Center LLC | Ophthalmology | 65 Division Ave Ste E, Eugene, OR 97404 | 2013-01-31 |
| 1073888251 | Zachary Newell | Mechanotherapist | 902 Travis Ave, Eugene, OR 97404 | 2012-03-20 |
| 1225301732 | Spencer Dean Moncur | Counselor | 550 Rivier Road, Eugene, OR 97404 | 2012-02-14 |
| Find all providers in zip 97404 | ||||
| Taxonomy Code | 133VN1006X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| Specialization | Nutrition, Metabolic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790832152 | Sandra Carol Vancalcar | Dietitian, Registered | 840 Sw Gaines St, Portland, OR 97239-2904 | 2007-01-05 |
| 1114453099 | Kindra L Thrasher | Dietitian, Registered | 10101 Se Main St Ste 2011, Portland, OR 97216-2457 | 2017-05-11 |
| 1124397062 | Mlb Nutrition & Wellness, LLC | Dietitian, Registered | 10101 Se Main St, Portland, OR 97216-2455 | 2011-12-21 |
| 1326362856 | Kiah Suzanne Sanger | Dietitian, Registered | 8495 Crater Lake Hwy, Bld 211 Un Rm 217, White City, OR 97503-3011 | 2010-03-26 |
| 1831388636 | Stacey Marie Lamb | Dietitian, Registered | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | 2007-10-17 |
| 1508901976 | Carrie Jean Robinson-loughran | Dietitian, Registered | 100 Madison Ave, Astoria, OR 97103-5027 | 2007-02-21 |
Please comment or provide details below to improve the information on HOLLY RAE ST.LAWRENCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.