Individual
LAUREN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
8708 N RANCH ROAD 620, AUSTIN, TX 78726-3503
(512) 335-2333
Mailing address
8720 CORRAN FERRY DR, AUSTIN, TX 78749-3684
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86345084
TX
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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