Doctor Name: | LORRIE TERRY |
NPI Number: | 1528498755 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,R.D.,L.D |
License Number: | KY1971 |
Business Practice Address: | 2401 W Main St Marion, IL - 629591188 |
Business Phone Number: | 6189975311 |
Business Fax Number: | |
Mailing Address: | 76 Tracy Leigh Ln, BENTON |
State: | KY |
Postal Code: | 420256650 |
Phone Number: | 2705590589 |
Fax Number: | |
NPI Enumeration Date: | 11/25/2013 |
NPI Last Update Date: | 11/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | KY1971 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
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 |