| Lauren Michelle Haddock, RD | |
|
2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 | |
| (541) 672-8533 | |
| (541) 672-4993 |
| Full Name | Lauren Michelle Haddock |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2371 Ne Stephens St Ste 200, Roseburg, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386127298 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD-D-10192531 (Oregon) | Primary |
| Provider Name | Cow Creek Band Of Umpqua Tribe Of Indians |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1063502714 PECOS PAC ID: 8921099474 Enrollment ID: O20071218000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Michelle Haddock, RD 1680 Elgarose Rd, Roseburg, OR 97471-9092 Ph: (541) 817-2761 | Lauren Michelle Haddock, RD 2371 Ne Stephens St Ste 200, Roseburg, OR 97470-1399 Ph: (541) 672-8533 |
Ms. Virginia Ruth Terry, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1813 W Harvard Ave, Ste 427, Roseburg, OR 97471 Phone: 541-784-5966 | |
Mrs. Allison F Gottfried, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2880 Nw Stewart Pkwy Ste 100, Roseburg, OR 97471 Phone: 541-672-2267 Fax: 541-672-9483 | |
Joseph Albrecht, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Roseburg, OR 97471 Phone: 541-441-1000 | |
Carol Mae Embertson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2459 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-2102 Fax: 541-677-4848 | |
Mrs. Dana Ellen Cox, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 913 Nw Garden Valley Blvd, Nutrition & Food Services, Roseburg, OR 97471 Phone: 541-440-1000 | |
Jocarol S. Driver, Dietitian Medicare: Medicare Enrolled Practice Location: 2459 Nw Stewart Pkwy, Roseburg, OR 97470 Phone: 541-677-2102 Fax: 541-677-4848 | |
Jill Marie Boyce, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2371 Ne Stephens St, Suite 200, Roseburg, OR 97470 Phone: 541-677-5584 Fax: 541-492-5217 |