Individual
LAUREN MARIE CASS LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
210 E WALNUT ST, NICHOLASVILLE, KY 40356-1252
(859) 885-4149
(859) 885-2310
Mailing address
210 E WALNUT ST, NICHOLASVILLE, KY 40356-1252
(859) 885-4149
(859) 885-2310
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
148983
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002144
MEDICARE PTAN
KS
05
—
200748640A
—
KS
Enumeration date
11/21/2011
Last updated
08/22/2016
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