Individual
LAUREN JEANNE CHILDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(512) 694-9621
Mailing address
10936 COLBERT WAY, DALLAS, TX 75218-1800
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT87191
TX
Other
Enumeration date
12/06/2022
Last updated
12/06/2022
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