Individual
LAUREN MICKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(440) 667-3997
Mailing address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
7413
OH
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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