Individual
LAUREN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHA, RD, CDN, CDE
Contact information
Practice address
517 REGAL BLVD, LIVINGSTON, NJ 07039-8245
(973) 738-6763
Mailing address
517 REGAL BLVD, LIVINGSTON, NJ 07039-8245
(973) 738-6763
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/08/2009
Last updated
08/30/2010
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