Individual
LAUREN ELIZABETH HART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
12303 DE PAUL DR, BRIDGETON, MO 63044-2512
(314) 344-6373
Mailing address
632 N CENTRAL AVE, EUREKA, MO 63025-1200
(731) 394-0902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2019006478
TN
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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