Organization
RENOVATE YOUR PLATE
Active
Organization
RENOVATE YOUR PLATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN RIEKER RD (OWNER/REGISTERED DIETITIAN)
(317) 508-3427
Entity
Organization
Contact information
Practice address
1030 CENTRAL AVE STE 3, INDIANAPOLIS, IN 46202-2794
(317) 508-3427
Mailing address
1030 CENTRAL AVE STE 3, INDIANAPOLIS, IN 46202-2794
(317) 508-3427
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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