Doctor Name: | LORI L TIESSEN |
NPI Number: | 1790996643 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., C.D.E. |
License Number: | DI00001796 |
Business Practice Address: | 2000 Hospital Dr Sedro Woolley, WA - 982844327 |
Business Phone Number: | 3608566021 |
Business Fax Number: | 3608567300 |
Mailing Address: | 4607 Cypress Dr, ANACORTES |
State: | WA |
Postal Code: | 982211114 |
Phone Number: | 3602939765 |
Fax Number: | |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI00001796 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
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 |