Individual
MRS. LAUREN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D, L.D
Contact information
Practice address
10961 CLUB WEST PKWY STE 100, BLAINE, MN 55449-5867
(763) 528-2987
Mailing address
11394 ELDORADO ST NE UNIT D, BLAINE, MN 55449-4548
(612) 723-6823
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86021401
MN
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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