Provider Demographics
NPI:1942025416
Name:HILL, LAUREN REECE (MS, RDN, LDN)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:REECE
Last Name:HILL
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5331 LINMOOR DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:MS
Mailing Address - Zip Code:39342-9434
Mailing Address - Country:US
Mailing Address - Phone:601-527-4190
Mailing Address - Fax:
Practice Address - Street 1:5331 LINMOOR DR
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:MS
Practice Address - Zip Code:39342-9434
Practice Address - Country:US
Practice Address - Phone:601-527-4190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS955655133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty