Individual
MRS. LAUREN MARIE WAGNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., #981448
Contact information
Practice address
2601 S LEMAY AVE UNIT 7, FORT COLLINS, CO 80525-2298
(518) 852-4977
Mailing address
2601 S LEMAY AVE UNIT 7, FORT COLLINS, CO 80525-2298
(518) 852-4977
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
981448
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
981448
REGISTERED DIETITIAN CREDENTIALED BY THE COMMISSION ON DIETETIC REGISTRATION
NJ
Enumeration date
04/22/2009
Last updated
09/12/2025
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