Individual
LAUREN LOTT BROCATO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2315 LAKEHALL RD, LAKE VILLAGE, AR 71653-6123
(662) 822-5645
Mailing address
2315 LAKEHALL RD, LAKE VILLAGE, AR 71653-6123
(662) 822-5645
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D-1644
MS
Other
Enumeration date
01/24/2025
Last updated
01/24/2025
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