Individual
LAUREN KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., R.D., C.D.N
Contact information
Practice address
148 W 75TH ST, APT 2B, NEW YORK, NY 10023-1922
(914) 772-3433
Mailing address
148 W 75TH ST, APT 2B, NEW YORK, NY 10023
(914) 772-3433
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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