Individual
MS. LAUREN NICOLE CADILLAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED DIETITIAN
Contact information
Practice address
576 5TH AVE STE 805, NEW YORK, NY 10036-4826
(201) 873-3832
Mailing address
107 E 63RD ST APT 1B, NEW YORK, NY 10065-7346
(201) 873-3832
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86020380
NJ
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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