Individual
LAUREN K ELIASSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
6823 PONCHA PASS, AUSTIN, TX 78749-4370
(512) 925-4184
Mailing address
6823 PONCHA PASS, AUSTIN, TX 78749-4370
(512) 925-4184
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
TX
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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