Individual
LAUREN VERSWEYVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
1500 COOPER ST, FORT WORTH, TX 76104-2710
(682) 885-7960
(682) 885-1327
Mailing address
PO BOX 99371, FORT WORTH, TX 76199-0371
(682) 885-1855
(682) 885-7347
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
002091
IA
133V00000X
Registered Dietitian
2564-29
WI
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DT83196
TX
Other
Enumeration date
02/18/2013
Last updated
12/28/2015
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