Individual
LAUREN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., LD/N
Contact information
Practice address
5730 LAKE UNDERHILL RD, SUITE B, ORLANDO, FL 32807-4366
(407) 254-1995
Mailing address
1756 HOLLYWOOD AVE, WINTER PARK, FL 32789-4017
(407) 590-2297
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
ND7126
FL
Other
Enumeration date
06/08/2015
Last updated
06/08/2015
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