Doctor Name: | LAUREN ELIZABETH HENKE |
NPI Number: | 1043458094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD LDN |
License Number: | 164005031 |
Business Practice Address: | 6767 S Spruce St Centennial, CO - 801121283 |
Business Phone Number: | 8157598147 |
Business Fax Number: | |
Mailing Address: | 2785 N Speer Blvd, Apt 309b DENVER |
State: | CO |
Postal Code: | 802114219 |
Phone Number: | 8474013957 |
Fax Number: | |
NPI Enumeration Date: | 01/29/2009 |
NPI Last Update Date: | 06/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133VN1006X |
License Number: | 164005031 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | Nutrition, Metabolic |
Taxonomy Definition: |