Provider Demographics
NPI:1871972828
Name:NUTRITION FITNESS BY LAURA BARTRON
Entity type:Organization
Organization Name:NUTRITION FITNESS BY LAURA BARTRON
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTRON
Authorized Official - Suffix:
Authorized Official - Credentials:CNC, CPT
Authorized Official - Phone:925-942-6366
Mailing Address - Street 1:2805 JONES RD
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-7848
Mailing Address - Country:US
Mailing Address - Phone:925-942-6366
Mailing Address - Fax:
Practice Address - Street 1:2805 JONES RD
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94597-7848
Practice Address - Country:US
Practice Address - Phone:925-942-6366
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-22
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133N00000XDietary & Nutritional Service ProvidersNutritionistGroup - Single Specialty