Mrs Lauren Ashley Schultheis, RD | |
2905 Northwest Blvd Ste 230, Plymouth, MN 55441-2644 | |
(763) 200-1121 | |
Not Available |
Full Name | Mrs Lauren Ashley Schultheis |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 2905 Northwest Blvd Ste 230, Plymouth, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073145538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 4301 (Minnesota) | Primary |
Provider Name | Wellway Medical Pa |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1063170785 PECOS PAC ID: 1456734714 Enrollment ID: O20220818002547 |
Mailing Address | Practice Location Address |
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Mrs Lauren Ashley Schultheis, RD 2905 Northwest Blvd Ste 230, Plymouth, MN 55441-2644 Ph: (763) 200-1121 | Mrs Lauren Ashley Schultheis, RD 2905 Northwest Blvd Ste 230, Plymouth, MN 55441-2644 Ph: (763) 200-1121 |
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