Individual
LAUREN PITTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
4500 13TH ST, GULFPORT, MS 39501-2569
(228) 865-3642
Mailing address
310 43RD ST, GULFPORT, MS 39507-3945
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1948
MS
Other
Enumeration date
05/29/2019
Last updated
05/29/2019
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