Individual
LAUREN FAITH BLOXSOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1204 W MAIN ST FL 5, CHARLOTTESVILLE, VA 22903-2824
(434) 924-2665
Mailing address
3014 VUE AVE UNIT 113, CROZET, VA 22932-3196
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86265415
VA
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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