Individual
MS. LAUREN ELIZABETH COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
824 ROOSEVELT TRL # 294, WINDHAM, ME 04062-5370
(207) 494-4774
Mailing address
19 FAIRWAY CT, AUBURN, ME 04210-8329
(413) 884-5230
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1226
NH
133V00000X
Registered Dietitian
5154
MA
133V00000X
Registered Dietitian
Primary
DI1608
ME
Other
Enumeration date
02/03/2021
Last updated
10/11/2024
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