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Organization
LORI S. BRIZEE PEDIATRIC NUTRITION CONSULTATION LLC
Active
Organization
LORI S. BRIZEE PEDIATRIC NUTRITION CONSULTATION LLC
Active
Other names
Central Oregon Nutrition Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI S BRIZEE RD, LD (REGISTERED DIETITIAN, OWNER)
(541) 306-6801
Entity
Organization
Contact information
Practice address
516 SW 13TH ST, SUITE 101, BEND, OR 97702-3206
(541) 306-6801
(541) 312-4670
Mailing address
61456 ELDER RIDGE ST, BEND, OR 97702-1193
(541) 788-2625
(541) 312-4670
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDD000706
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028359
—
OR
Enumeration date
06/10/2014
Last updated
06/10/2014
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