Lori L Mack, RD

NPI #1093772212 in Center City, Minnesota

Provider Information

NPI Number
1093772212
Entity Type
Individual
Name
Lori L Mack, RD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
May 1, 2006
Last Updated
Feb 4, 2015

Practice Location

Address
15251 PLEASANT VALLEY RD
ZIP Code
55012
Phone
(651) 213-4407

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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