Provider Demographics
NPI:1609616952
Name:PLANT-BASED PERSPECTIVE
Entity type:Organization
Organization Name:PLANT-BASED PERSPECTIVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOPHIE
Authorized Official - Middle Name:R
Authorized Official - Last Name:LAUVER
Authorized Official - Suffix:
Authorized Official - Credentials:MS, RD, LDN, NBC-HWC
Authorized Official - Phone:917-863-0025
Mailing Address - Street 1:1210 REGESTER AVE
Mailing Address - Street 2:
Mailing Address - City:IDLEWYLDE
Mailing Address - State:MD
Mailing Address - Zip Code:21239-1612
Mailing Address - Country:US
Mailing Address - Phone:917-863-0025
Mailing Address - Fax:
Practice Address - Street 1:1210 REGESTER AVE
Practice Address - Street 2:
Practice Address - City:IDLEWYLDE
Practice Address - State:MD
Practice Address - Zip Code:21239-1612
Practice Address - Country:US
Practice Address - Phone:917-863-0025
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-24
Last Update Date:2024-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty