Individual
MS. LAUREN EVAN REGINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
225 ERDMAN ST, BANGOR, PA 18013-2043
(610) 588-2225
(610) 588-2292
Mailing address
2714 KINGSTON RD, EASTON, PA 18045-1930
(610) 252-1914
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN004147
PA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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