Individual
LAUREN KEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1014 BURRELL AVE, LEWISTON, ID 83501-5472
(208) 743-4558
Mailing address
614 S BLAINE ST APT 5, MOSCOW, ID 83843-3794
(208) 596-8284
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
086101186
ID
Other
Enumeration date
08/11/2020
Last updated
08/11/2020
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