Individual
LAUREN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
760 BROADWAY, BROOKLYN, NY 11206-5317
(718) 963-6824
Mailing address
14416 119TH AVE, JAMAICA, NY 11436-1512
(917) 400-8558
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
826298
NY
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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