Lori L Mack RD

NPI 1093772212 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1093772212
Gender Female
Enumeration Date 05/01/2006
Last Updated 02/04/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
15251 PLEASANT VALLEY RD
CENTER CITY MN, 55012, US
Phone (651) 213-4407
Fax
Business Location
1418 146TH LN NW
ANDOVER MN, 55304-3401, US
Phone (804) 943-8507
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Minnesota
License Number 2435
Remove 1093772212 NPI Number
 

According to our database, Lori L Mack RD NPI is 1093772212, taxonomy code is 133V00000X and license number is 2435, license state is located at Minnesota. Lori L Mack RD physically located at 15251 Pleasant Valley Rd, Center City MN, 55012. NPI Number Lori L Mack RD has the Individual type.

Sponsored links

1093772212 NPI number is provided on an as is basis without warranty of any kind. 1093772212 is maintained by the National Plan & Provider Enumeration System. The contents of Lori L Mack RD are for informational purposes only.