Individual
LAUREN NICOLE LOIS PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
901 BYERS DR # 1072, GLEN MILLS, PA 19342-3323
(508) 907-8850
Mailing address
2601 FLORAL BLVD, BUTTE, MT 59701-4113
(406) 560-7786
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
MED-NUTR-LIC-60066
MT
Other
Enumeration date
11/18/2021
Last updated
08/06/2024
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