Individual
MISS LAUREN ASHELY MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1648 HUNTINGDON PIKE, MEADOWBROOK, PA 19046-8001
(215) 938-4054
(215) 938-4336
Mailing address
461 SEVILLE ST, PHILADELPHIA, PA 19128-3632
(717) 314-6708
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1075729
PA
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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