MRS. Lorie Ann Bourne, M.S., R.D., L.D.,

NPI #1114390390 in Rolla, Missouri

Provider Information

NPI Number
1114390390
Entity Type
Individual
Name
MRS. Lorie Ann Bourne, M.S., R.D., L.D.,
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dietitian, Registered
Credential
M.S., R.D., L.D.,
Enumeration Date
Nov 10, 2015
Last Updated
Nov 10, 2015

Practice Location

Address
1000 W 10TH ST
City
Rolla
ZIP Code
65401-2905
Phone
(573) 458-8337

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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