Individual
LAUREN NICOLE WALCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
1000 EAST MOUNTAIN BLVD, WILKES BARRE, PA 18711-0027
(570) 808-7803
(570) 808-3230
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9800
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN007799
PA
Other
Enumeration date
01/25/2024
Last updated
03/13/2024
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