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Individual
LAUREN PHILLIPS
Active
Individual
LAUREN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164.005813
—
133V00000X
Registered Dietitian
DT90808
TX
133V00000X
Registered Dietitian
Primary
LD.09716
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
164.005813
LICENSE #
IL
01
—
DT90808
LICENSE #
TX
01
—
LD.09716
LICENSE #
OH
Enumeration date
12/14/2012
Last updated
09/13/2024
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