Most Relevant Information
Provider Data
NPI Number: | 1003262577 |
Provider Name: | LAUREN GUNN RD, CD |
Entity Type: | Individual |
Taxonomy Code: | 133V00000X |
Specialty: | Dietitian, Registered |
License Number: | 37002252A |
Most Important Dates
Enumeration Date: | 05/13/2016 |
Last Updated: | 11/23/2021 |
Provider Practice Location
720 ESKENAZI AVE
INDIANAPOLIS
IN
462025166
Practice Location Phone/Fax
Phone: | 3178805625 |
Fax: |
Provider Mailing Location
720 ESKENAZI AVE
INDIANAPOLIS
IN
462025166
Provider Mailing Phone/Fax
Phone: | |
Fax: |