Lori A Porter

NPI #1508216953 in Bolingbrook, Illinois

Provider Information

NPI Number
1508216953
Entity Type
Individual
Name
Lori A Porter
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Enumeration Date
Jun 16, 2016
Last Updated
Jun 16, 2016

Practice Location

Address
1744 TREVINO CIR
ZIP Code
60490-6607
Phone
(630) 640-7735

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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