Ms Lauren Kort, RD | |
4520 Executive Dr Ste 11, San Diego, CA 92121-3018 | |
(800) 926-8273 | |
Not Available |
Full Name | Ms Lauren Kort |
---|---|
Gender | Female |
Speciality | Registered Dietitian Or Nutrition Professional |
Experience | 10 Years |
Location | 4520 Executive Dr Ste 11, San Diego, California |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023559234 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 1061173 (California) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Regents Of The University Of California | 3577476761 | 1712 |
Provider Name | Regents Of The University Of California |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1740382993 PECOS PAC ID: 3577476761 Enrollment ID: O20040430001354 |
Mailing Address | Practice Location Address |
---|---|
Ms Lauren Kort, RD Po Box 232410, San Diego, CA 92193-2410 Ph: () - | Ms Lauren Kort, RD 4520 Executive Dr Ste 11, San Diego, CA 92121-3018 Ph: (800) 926-8273 |
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