Doctor Name: | MRS. LAUREN CARLSON |
NPI Number: | 1093196321 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D, L.D |
License Number: | 86021401 |
Business Practice Address: | 10961 Club West Pkwy Ste 100 Blaine, MN - 554495867 |
Business Phone Number: | 7635282987 |
Business Fax Number: | |
Mailing Address: | 11394 Eldorado St Ne Unit D, BLAINE |
State: | MN |
Postal Code: | 554494548 |
Phone Number: | 6127236823 |
Fax Number: | |
NPI Enumeration Date: | 06/11/2015 |
NPI Last Update Date: | 06/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 86021401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |