Mary Lange, RD

NPI #1386704237 in Brainerd, Minnesota

Provider Information

NPI Number: 1386704237
Entity Type: Individual
Name: Mary Lange, RD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RD
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2024 S 6TH ST
City: Brainerd
State: Minnesota
ZIP Code: 56401-4529
Phone: (218) 828-7100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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