Organization
LAUREN NEWMAN NUTRITION THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN NEWMAN RD, LD (OWNER)
(201) 394-9833
Entity
Organization
Contact information
Practice address
2306 LAKE AUSTIN BLVD, AUSTIN, TX 78703-4546
(201) 394-9833
Mailing address
1900 SIMOND AVE APT 2065, AUSTIN, TX 78723-4653
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE
—
Enumeration date
11/13/2018
Last updated
06/11/2019
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