Individual
LAUREN ELYSE CATLETT WIDMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD
Contact information
Practice address
9601 BAPTIST HEALTH DR, LITTLE ROCK, AR 72205-6321
(501) 202-2001
Mailing address
3125 MAJESTIC CIR, CONWAY, AR 72034-9670
(501) 712-6943
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1718
AR
133V00000X
Registered Dietitian
86088559
AR
Other
Enumeration date
10/31/2017
Last updated
10/31/2017
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