Individual
STEFANIE LAUTENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
(952) 993-6200
Mailing address
3525 MONTEREY DR, ST LOUIS PARK, MN 55416-5275
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4679
MN
Other
Enumeration date
03/25/2022
Last updated
05/04/2022
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