Doctor Name: | LORI LYNNE SMITH |
NPI Number: | 1104052315 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | 871551 |
Business Practice Address: | 252 S 14th St Burlington, CO - 808072321 |
Business Phone Number: | 7193467158 |
Business Fax Number: | |
Mailing Address: | 320 Cedar St, WRAY |
State: | CO |
Postal Code: | 807581819 |
Phone Number: | 9703325439 |
Fax Number: | |
NPI Enumeration Date: | 06/02/2009 |
NPI Last Update Date: | 06/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 871551 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |