Individual
LAUREN MICHELLE HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2371 NE STEPHENS ST STE 200, ROSEBURG, OR 97470-1399
(541) 672-8533
(541) 672-4993
Mailing address
1680 ELGAROSE RD, ROSEBURG, OR 97471-9092
(541) 817-2761
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD-D-10192531
OR
Other
Enumeration date
09/07/2018
Last updated
08/20/2019
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