Individual
LAUREN HAYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4203 BELFORT RD, JACKSONVILLE, FL 32216-1409
(904) 450-6090
Mailing address
216 YARBROUGH RD, ST AUGUSTINE, FL 32095-8211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
13835
FL
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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