Individual
MISS LAUREN MACKENZIE DUFFY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
212 BEACON BLVD, SEA GIRT, NJ 08750-1611
(732) 996-7304
Mailing address
212 BEACON BLVD, SEA GIRT, NJ 08750-1611
(732) 996-7304
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
—
—
Other
Enumeration date
09/29/2020
Last updated
09/29/2020
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