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NPI Code Detail

MEDICARE: MRS. LAUREN SEGAL MS, RD, CD, RYT

MEDICARE:  MRS. LAUREN  SEGAL  MS, RD, CD, RYT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian86015951UT

General Provider Information

NPI Number : 1144848532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAUREN SEGAL MS, RD, CD, RYT
Provider Business Mailing Address
First Line : 7126 S BROOKHILL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84121-3604
Country : US
Telephone Number : 616-648-9290
Fax Number :
Provider Business Practice Location Address
First Line : 2936 S HIGHLAND DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84106-3582
Country : US
Telephone Number : 801-948-0898
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2020
Last Update Date : 02/15/2023

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Directions to “ MRS. LAUREN SEGAL MS, RD, CD, RYT” Practice Location

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