Individual
MRS. LAUREN KATHLEEN LIECHTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1600 ALBANY ST, BEECH GROVE, IN 46107-1541
(317) 528-3955
Mailing address
1600 ALBANY ST, BEECH GROVE, IN 46107-1541
(317) 528-3955
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1023574
IN
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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