Individual
LAUREN GLEASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
810 SCOTT CIR, DECATUR, GA 30033-4717
(770) 846-6669
Mailing address
810 SCOTT CIR, DECATUR, GA 30033-4717
(404) 436-3363
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86057838
GA
Other
Enumeration date
09/08/2022
Last updated
01/12/2023
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