Individual
LAUREN M LAVECCHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2500 ELMS CENTER RD, NORTH CHARLESTON, SC 29406-9844
(843) 572-7727
(843) 569-5881
Mailing address
PO BOX 118008, NORTH CHARLESTON, SC 29423-8008
(843) 572-7727
(843) 569-5881
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
1404
SC
133V00000X
Registered Dietitian
Primary
1404
SC
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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