Individual
LAUREN SAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, IBCLC
Contact information
Practice address
6704 WOODWAY DR, WACO, TX 76712-6145
(254) 892-4957
Mailing address
6704 WOODWAY DR, WACO, TX 76712-6145
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT96469
TX
174N00000X
Lactation Consultant (Non-RN)
L305319
TX
Other
Enumeration date
08/25/2015
Last updated
06/06/2024
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