Individual
LAUREN M BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CD-N
Contact information
Practice address
45 S MAIN ST STE 202, WEST HARTFORD, CT 06107-2402
(860) 986-1026
Mailing address
3 OLD GATE RD, WALLINGFORD, CT 06492-3327
(860) 986-1026
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000752
CT
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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