NPI 1760039457 · live from the CMS NPI Registry
Lauren Michelle Gibbs, RD, LD
Dietitian, Registered in Cheyenne, WY. National Provider Identifier 1760039457, active.
NPI record
| NPI | 1760039457 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2304 Pioneer Ave, Cheyenne, WY 82001 |
| Practice phone | 307-221-2047 |
| Mailing address | 2365 Plain View Rd, Cheyenne, WY 82009 |
| Enumerated | August 19, 2019 |
| Last updated | August 19, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 288 (WY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.