Individual
LAUREN CASTELLUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
415 HOOPER RD, ENDWELL, NY 13760-3698
(607) 754-3863
Mailing address
415 HOOPER RD, ENDWELL, NY 13760-3698
(607) 754-3863
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
009558-01
NY
Other
Enumeration date
11/30/2021
Last updated
11/30/2021
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