Individual
MS. LAUREN ELIZABETH COLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LD, CPH
Contact information
Practice address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Mailing address
650 E INDIAN SCHOOL RD, PHOENIX, AZ 85012-1839
(602) 277-5551
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1026066
TX
133V00000X
Registered Dietitian
DT81636
TX
Other
Enumeration date
09/24/2011
Last updated
09/24/2011
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