Individual
MRS. LAUREN BEUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CD
Contact information
Practice address
345 W 1100 N APT 1, LOGAN, UT 84341-2489
(208) 431-0416
Mailing address
345 W 1100 N APT 1, LOGAN, UT 84341-2489
(208) 431-0416
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
06/11/2021
Last updated
06/11/2021
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