Individual
LAUREN C HENDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2781 S 242ND ST, DES MOINES, WA 98198-5166
(206) 212-4500
(206) 212-4515
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI61200643
WA
171M00000X
Case Manager/Care Coordinator
DI61200643
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2194552
—
WA
Enumeration date
04/05/2021
Last updated
01/29/2025
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