Maurine Thieszen, R.D.

NPI #1588706261 in Lake City, Iowa

Provider Information

NPI Number: 1588706261
Entity Type: Individual
Name: Maurine Thieszen, R.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: R.D.
Enumeration Date: Feb 12, 2007
Last Updated: Jan 12, 2012

Practice Location

Address: 1301 W MAIN ST
City: Lake City
State: Iowa
ZIP Code: 51449-1585
Phone: (712) 464-3171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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