Individual
MRS. LAUREN ELIZABETH MCILWAINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSC, MPH, RD, LDN
Contact information
Practice address
1042 WASHINGTON ST, RALEIGH, NC 27605-1258
(919) 781-4500
(919) 781-4504
Mailing address
1042 WASHINGTON ST, RALEIGH, NC 27605-1258
(919) 781-4500
(919) 781-4504
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005141
NC
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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