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Individual

LAUREN BUBOLTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN/LDN

Contact information

Practice address
547 KEISLER DR, SUITE 104, CARY, NC 27518-9309
(919) 391-6361
Mailing address
547 KEISLER DR, SUITE 104, CARY, NC 27518-9309

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004120
NC

Other

Enumeration date
02/19/2015
Last updated
09/27/2015
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