Lauren Bolliger

Individual provider Active NPI Registered Dietitian · Barnhart, MO

NPI 1356299028 · NPPES record last updated Mar 18, 2026

Key facts

NPI
1356299028
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
86081869 (MO)
Practice address
8111 Pheasant Dr
Barnhart, MO 63012-2728
Phone
(314) 461-5800
NPI assigned
Mar 18, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
86081869MOMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian
Group: 193400000X SINGLE SPECIALTY GROUP
133V00000X 86081869 MO Yes

Addresses

Primary practice location

8111 Pheasant Dr
Barnhart, MO 63012-2728

Mailing address

8111 Pheasant Dr
Barnhart, MO 63012-2728

Other providers in Barnhart, MO

All providers in Barnhart, MO · Registered Dietitian in Missouri

Sources for this page

Verify at the official NPI Registry.